NPI | 1376664045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WV 888) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 888) |
101YM0800X Counselor, Mental Health (Licence: WV 888) | |
101YP1600X Counselor, Pastoral (Licence: WV 888) | |
101YP2500X Counselor, Professional (Licence: WV 888) | |
1041C0700X Social Worker, Clinical (Licence: WV CP00938634) | |
106H00000X Marriage & Family Therapist (Licence: WV 888) | |
Enumeration Date | 2007-04-02 |
Last Update Date | 2007-07-08 |