| NPI | 1457676835 |
|---|---|
| Former Name | JODEAN ELAINE LOMBARDI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005214) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |