NPI | 1275654279 |
---|---|
Former Name | BOBBIANN SHUFELT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7418) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC LAC814AC) |
101YP2500X Counselor, Professional (Licence: NJ 37PC00003100) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00044600) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2025-09-29 |