| NPI | 1194760363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 20280) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 5422738-6004) |
| 101Y00000X Counselor (Licence: TX 20280) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 5422738-6004) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 20280) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 5422738-6004) | |
| 101YP2500X Counselor, Professional (Licence: UT 5422738-6004) | |
| 101YP2500X Counselor, Professional (Licence: TX 20280) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2022-07-21 |