NPI | 1578688370 |
---|---|
Other Name | GARY TRENT ALLEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC11760) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH00010784) |
101YM0800X Counselor, Mental Health (Licence: WA LH00010784) | |
101YM0800X Counselor, Mental Health (Licence: NV CP5104-R) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2023-01-10 |