NPI | 1518146802 |
---|---|
Professional Name | JAN PREMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR 2044) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR 85365) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 07-09-36) | |
Enumeration Date | 2007-11-02 |
Last Update Date | 2007-11-04 |