NPI | 1346490729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-06-87U3) | |
101YP2500X Counselor, Professional | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2024-08-14 |