| NPI | 1104600592 |
|---|---|
| Other Name | BECKY WELBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 99128120A) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist (Licence: IN CAPRC2-5198) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-11-17 |