NPI | 1245462308 |
---|---|
Former Name | THOMAS AARON ECTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60282553) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60349980) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2016-12-16 |