| NPI | 1790820256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY KY-0226) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 140) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP 00450088) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |