NPI | 1235673070 |
---|---|
Other Name | AUTUMN JONES-BIGBOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-18-383) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-CRM-163) |
175T00000X Peer Specialist (Licence: OR THW0001464) | |
Enumeration Date | 2016-12-13 |
Last Update Date | 2023-06-14 |