NPI | 1356156632 |
---|---|
Former Name | CHRISTINA RENEE SECHREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-2219) |
Enumeration Date | 2025-02-12 |
Last Update Date | 2025-02-12 |