| NPI | 1558600445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 9152) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60472711) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2021-03-08 |