NPI | 1427800754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OH APS.005080) |
Additional Taxonomies | 175T00000X Peer Specialist |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 186978) | |
106S00000X Behavior Technician (Licence: OH 186978) | |
Enumeration Date | 2024-04-02 |
Last Update Date | 2024-09-04 |