| NPI | 1477093060 |
|---|---|
| Professional Name | INNIS ADDISON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2019-06-12 |