NPI | 1386833978 |
---|---|
Other Name | JIMMY AUGUSTINE GOMEZ ANGIANO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13507-R) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-10-18 |
Last Update Date | 2023-01-31 |