NPI | 1225227101 |
---|---|
Former Name | DAWN HOLLOMAN JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 4989) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SC 4989) |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 4989) | |
101YM0800X Counselor Mental Health (Licence: SC 4989) | |
101YP1600X Counselor Pastoral | |
101YP2500X Counselor Professional (Licence: SC 4989) | |
104100000X Social Worker (Licence: SC 4989) | |
106H00000X Marriage & Family Therapist (Licence: SC 4989) | |
Enumeration Date | 2007-10-17 |
Last Update Date | 2014-06-11 |