| NPI | 1194887513 |
|---|---|
| Other Name | CHARLENE SKOVLUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD CCDCIII -05111241) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2157) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |