NPI | 1356885404 |
---|---|
Former Name | WESLEY SKYLER BELCOURT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-12-08 |
Last Update Date | 2024-11-11 |