NPI | 1477252062 |
---|---|
Other Name | BILLY ALLEN |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 70013507) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2023-03-02 |
Last Update Date | 2025-06-04 |