NPI | 1366596157 |
---|---|
Other Name | CEDAR COURT COUNSELING CENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 12016) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |