| NPI | 1366118390 |
|---|---|
| Other Name | JONATHAN R FARRELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 95857) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 95857) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2023-04-04 |