| NPI | 1710180369 |
|---|---|
| Former Name | CARRIE JO DURANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 696) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1741) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3458) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2025-11-22 |