NPI | 1205120532 |
---|---|
Former Name | JESSICA LYNN DAMRON / HAWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
1041C0700X Social Worker Clinical (Licence: CA 32985) | |
Enumeration Date | 2011-06-03 |
Last Update Date | 2025-02-21 |