| NPI | 1356712004 |
|---|---|
| Professional Name | CARL COCCARO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2651266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 17503130) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2016-09-02 |