NPI | 1306186242 |
---|---|
Other Name | NICHOLAS CREIGHTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4610) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC5774) |
Enumeration Date | 2013-02-28 |
Last Update Date | 2016-08-31 |