| NPI | 1790360477 |
|---|---|
| Other Name | KEVIN PAUL FLEMING |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14651-RAC) |
| Enumeration Date | 2021-03-14 |
| Last Update Date | 2021-11-29 |