NPI | 1174660997 |
---|---|
Other Name | ROBET JOHNSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00036600) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00069300) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2012-04-13 |