NPI | 1801126909 |
---|---|
Other Name | TIM GANT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8839) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1876) |
101YM0800X Counselor, Mental Health (Licence: NC 8839) | |
101Y00000X Counselor (Licence: NC 8839) | |
Enumeration Date | 2010-01-12 |
Last Update Date | 2012-01-25 |