| NPI | 1710962139 |
|---|---|
| Professional Name | EUGENE ISYANOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180-004766) |
| 103K00000X Behavior Analyst | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional (Licence: IL 180-004766) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-01-18 |