NPI | 1770708919 |
---|---|
Former Name | MICKIE SUE OHLENSCHLAEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC002848) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 917) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MAC Cert #501886) | |
Enumeration Date | 2007-04-14 |
Last Update Date | 2007-07-08 |