| NPI | 1285217935 |
|---|---|
| Other Name | THERESA CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0318) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1108) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2024-05-13 |