NPI | 1720579568 |
---|---|
Former Name | CELESTE HOCKENBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14629) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2021-05-04 |