| NPI | 1306593439 |
|---|---|
| Former Name | STEFAN CHASE ENTLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 83394) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C10285) |
| 101YP2500X Counselor Professional (Licence: MT 72354) | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2025-08-14 |