NPI | 1336518240 |
---|---|
Other Name | KRISNADUTH LUCHMUN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60752761) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA mc 60150012) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2018-05-18 |