NPI | 1669874459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C060580919) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA l0907011902) |
101YM0800X Counselor, Mental Health (Licence: CA C060580919) | |
101YP2500X Counselor, Professional (Licence: CA C060580919) | |
171400000X Health & Wellness Coach (Licence: CA C060580919) | |
Enumeration Date | 2014-09-23 |
Last Update Date | 2021-12-09 |