| NPI | 1669240248 |
|---|---|
| Other Name | SHAUN EDGAR OLDRIDGE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 08007T) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |