NPI | 1215347687 |
---|---|
Other Name | CHASE CHRISTOPHER BUTALA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006265) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2014-05-06 |
Last Update Date | 2023-11-17 |