| NPI | 1568694289 |
|---|---|
| Professional Name | PHILIP MICHAEL BOCKARIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |