| NPI | 1265946305 |
|---|---|
| Former Name | NICOLE DEREESE SUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA-168151) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH C.1901984-TRNE) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2019-11-01 |