| NPI | 1336901420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUETTA JOHNSON Licensed Professional Counselor 270-804-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |