NPI | 1679326532 |
---|---|
Former Name | JESSICA M KULIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.192304) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2024-04-10 |
Last Update Date | 2025-09-05 |