NPI | 1518622034 |
---|---|
Other Name | CLAY MARKWELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO ACD.0002396) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA.0008145) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002396) | |
Enumeration Date | 2021-11-01 |
Last Update Date | 2024-12-12 |