NPI | 1255972626 |
---|---|
Other Name | JAQUELYN RENEE PAIGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-10-07 |
Last Update Date | 2021-06-24 |