NPI | 1740401264 |
---|---|
Former Name | CHRISTY VERAJEAN REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA F.A.C.T. #298) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2018-12-17 |