NPI | 1255844676 |
---|---|
Former Name | LAURA C WHITCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional (Licence: CO LPC.0015259) | |
Enumeration Date | 2017-11-07 |
Last Update Date | 2024-11-05 |