NPI | 1356580120 |
---|---|
Other Name | JOSEPH ANTHONY SPILLMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI 185) |
Additional Taxonomies | 101Y00000X Counselor (Licence: HI 185) |
101YP2500X Counselor, Professional (Licence: HI 185) | |
Enumeration Date | 2009-02-18 |
Last Update Date | 2009-02-23 |