NPI | 1124572375 |
---|---|
Other Name | CHRISTIE HENNIGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007146) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103194) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000273) | |
101YM0800X Counselor, Mental Health (Licence: GA LPC009006) | |
Enumeration Date | 2016-08-04 |
Last Update Date | 2024-08-22 |