NPI | 1699313403 |
---|---|
Former Name | DAWN WHETSTONE/GAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 21157) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25212) |
101YM0800X Counselor, Mental Health (Licence: NC 21157) | |
Enumeration Date | 2019-12-12 |
Last Update Date | 2025-02-25 |