| NPI | 1194762401 | 
|---|---|
| Other Name | MICK STEMBORSKI | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 1103) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1183) | 
| Enumeration Date | 2006-06-02 | 
| Last Update Date | 2025-01-30 |