NPI | 1306530670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251B00000X Case Management | |
172V00000X Community Health Worker (Licence: TX 14456) | |
171M00000X Case Manager/Care Coordinator | |
101YP1600X Counselor, Pastoral | |
Enumeration Date | 2023-06-07 |
Last Update Date | 2025-09-09 |