| 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 |