| NPI | 1780348458 |
|---|---|
| Doing Business As | THE SOLDIER THERAPIST |
| Entity Type | Organization |
| Authorized Contact | RAYMOND EDWIN JEANES Owner 678-805-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2022-02-28 |