| NPI | 1457345266 |
|---|---|
| Former Name | EDWIN J. I. FERACO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 004144) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW01491) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 3714) | |
| 101YP2500X Counselor, Professional (Licence: CT 46.002377) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2014-03-18 |