| NPI | 1700162393 |
|---|---|
| Other Name | GUS DIGGS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5010) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2022-07-21 |