| NPI | 1487893418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 60526896) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401018970) |
| 101YM0800X Counselor Mental Health (Licence: CT 5180) | |
| 101YM0800X Counselor Mental Health (Licence: CA 16931) | |
| 101YM0800X Counselor Mental Health (Licence: OR C5547) | |
| 101YM0800X Counselor Mental Health (Licence: RI MHC01038) | |
| 101YM0800X Counselor Mental Health (Licence: NM CCMH0209721) | |
| 101YM0800X Counselor Mental Health (Licence: HI MHC-687) | |
| 101YM0800X Counselor Mental Health (Licence: AZ 19009) | |
| 101YM0800X Counselor Mental Health (Licence: CO 0019052) | |
| 101YM0800X Counselor Mental Health (Licence: TX 82861) | |
| 101YM0800X Counselor Mental Health (Licence: PA PC015392) | |
| 101YM0800X Counselor Mental Health (Licence: MT 64497) | |
| Enumeration Date | 2009-02-15 |
| Last Update Date | 2024-08-16 |