NPI | 1750869384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.091046) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2018-08-06 |
Last Update Date | 2018-08-06 |