NPI | 1376030270 |
---|---|
Professional Name | MARK WORTHINGTON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci225590418) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA Aii63090521) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-01-08 |