NPI | 1720578651 |
---|---|
Former Name | KRISTIAN MICHELLE STANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CDCA.172557) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168325) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172557) | |
171M00000X Case Manager/Care Coordinator (Licence: OH CDCA.172557) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-05-16 |
Last Update Date | 2024-08-13 |