| NPI | 1528510476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 101161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1400519) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-11-12 |