NPI | 1629724612 |
---|---|
Entity Type | Organization |
Authorized Contact | CA'LANDRA BENNETT Lpc/Owner 740-561-3041 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2022-02-28 |
Last Update Date | 2022-02-28 |