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 |