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 |