| NPI | 1578325130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187771) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS.004666) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-06-17 |