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 |