NPI | 1245369552 |
---|---|
Former Name | LINDA L PECK-ALLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-307) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1068) |
101YP2500X Counselor, Professional (Licence: NE 686) | |
Enumeration Date | 2007-03-04 |
Last Update Date | 2007-07-08 |