NPI | 1639429863 |
---|---|
Other Name | MARCUS ELLIOTT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66300) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 66300) |
101YM0800X Counselor, Mental Health (Licence: TX 66300) | |
Enumeration Date | 2012-09-14 |
Last Update Date | 2012-09-14 |