NPI | 1306415187 |
---|---|
Professional Name | DUSTIN HILES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0017257) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0017257) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2021-06-24 |