NPI | 1124661202 |
---|---|
Professional Name | ROBERT ASA LOCKLEAR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-642) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 2024-18) |
101YP2500X Counselor, Professional (Licence: HI MHC-642) | |
Enumeration Date | 2019-10-22 |
Last Update Date | 2022-02-03 |