NPI | 1215600861 |
---|---|
Other Name | PHIL ADELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 83550) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 83550) |
Enumeration Date | 2021-07-29 |
Last Update Date | 2024-04-03 |