NPI | 1205367315 |
---|---|
Former Name | CHERIE CELESTE ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011115) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC011115) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA C0282) | |
101YP2500X Counselor, Professional (Licence: GA LPC011115) | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2020-01-31 |