| NPI | 1780300178 |
|---|---|
| Other Name | ALEX BISHARA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600616) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.061036) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |