NPI | 1780954776 |
---|---|
Other Name | CHUCK HANCOCK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC-11179) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC-12364) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2021-04-15 |