| NPI | 1649847625 |
|---|---|
| Former Name | TERRA BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA178577) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OH APS002426) |
| 171M00000X Case Manager/Care Coordinator | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 174691) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-05-24 |