| NPI | 1710381850 |
|---|---|
| Former Name | JEREMY HIGH ROWLAND |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4870) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 668) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2025-01-21 |