NPI | 1255844676 |
---|---|
Former Name | LAURA C WHITCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C9467) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C9467) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-R-31) | |
Enumeration Date | 2017-11-07 |
Last Update Date | 2025-10-07 |