| NPI | 1386157253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171912) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 165253) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2026-04-14 |