| NPI | 1275804221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3541) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2026-02-26 |