NPI | 1487027595 |
---|---|
Former Name | STEPAHNIE BILLINGSLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0800287) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA080412) |
101YM0800X Counselor, Mental Health (Licence: OH E0800287) | |
Enumeration Date | 2015-11-11 |
Last Update Date | 2022-07-21 |