| NPI | 1487157350 |
|---|---|
| Professional Name | DAVID PAUL JETER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 5700) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-06-16 |