NPI | 1669782322 |
---|---|
Professional Name | DALE MICHAEL MINOR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH 0008212) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 061009) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2010-10-15 |