| NPI | 1437958253 |
|---|---|
| Former Name | CASEY LEEANN DAMRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 7768) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 7768) |
| 101YM0800X Counselor, Mental Health (Licence: TN 7768) | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |