| NPI | 1740621168 |
|---|---|
| Other Name | MIKE KOHLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 3540) |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2023-12-04 |