| NPI | 1457925794 | 
|---|---|
| Other Name | CHRIS J SEVERSON | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-04-10391) | 
| Enumeration Date | 2021-05-19 | 
| Last Update Date | 2022-05-27 |