| 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 |