NPI | 1790298537 |
---|---|
Former Name | VANESSA LYNN LEMASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.161412) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-11-15 |
Last Update Date | 2022-05-04 |