| NPI | 1720697071 |
|---|---|
| Former Name | CHANTEL L WOLFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCII.161955) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 172775) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 175854) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2023-12-14 |