NPI | 1225230360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 2517) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SC 2344) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 4893) | |
101YM0800X Counselor, Mental Health (Licence: SC 2344) | |
101YP1600X Counselor, Pastoral | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2025-09-11 |