| NPI | 1598036725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 9604139) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2023-09-19 |