NPI | 1598152092 |
---|---|
Former Name | JESSICA PARTRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6955-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 6955-125) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 6955-125) | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2022-06-07 |