| NPI | 1629745971 |
|---|---|
| Former Name | AARON MICHAEL FENSTEMAKER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA177642) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2102013-TRNE) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-01-07 |