| NPI | 1184487803 |
|---|---|
| Other Name | LEO TARANGO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-R-5870) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000111521) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-10-03 |