NPI | 1245359330 |
---|---|
Former Name | JENNIFER LEE EATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2678) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-08-16) |
101YM0800X Counselor, Mental Health (Licence: OR c2678) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2018-06-07 |