NPI | 1447791066 |
---|---|
Former Name | JOCELYN BEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304302) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.165996) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161922) | |
1041C0700X Social Worker, Clinical (Licence: OH S.1601165) | |
1041S0200X Social Worker, School (Licence: OH S.1601165) | |
Enumeration Date | 2017-03-15 |
Last Update Date | 2023-03-03 |