| NPI | 1740794189 |
|---|---|
| Former Name | CHRIS TERRYNELSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 1423) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002029) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-12-22 |