NPI | 1316509730 |
---|---|
Other Name | RONNIE JAMES VIGUERIE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC-1342) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1342) |
Enumeration Date | 2019-07-05 |
Last Update Date | 2020-05-07 |