NPI | 1538688668 |
---|---|
Former Name | CARRIE ROXANN COOMBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60647371) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7734) |
101YM0800X Counselor, Mental Health (Licence: FL TPMC3904.) | |
101YM0800X Counselor, Mental Health (Licence: ID 9743) | |
101YM0800X Counselor, Mental Health (Licence: OR 9743) | |
Enumeration Date | 2017-09-09 |
Last Update Date | 2024-04-12 |