| NPI | 1447726237 |
|---|---|
| Former Name | JAMIE D. CONNELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61332250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2022-12-13 |