NPI | 1215810791 |
---|---|
Former Name | KELSEY HAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2025-07-30 |
Last Update Date | 2025-07-30 |