| NPI | 1114565405 |
|---|---|
| Former Name | DENNIS WADE MILLET |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61258642) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CG61221709) |
| 101YM0800X Counselor, Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-06-17 |