| 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 |