| NPI | 1174671861 | 
|---|---|
| Professional Name | BOB MCQUEEN | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-4271)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 1808)  | 
| Enumeration Date | 2007-01-08 | 
| Last Update Date | 2019-04-26 |