NPI | 1700144862 |
---|---|
Professional Name | BUSTER WERENKO-ROSS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-R-05) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2012-04-26 |