| NPI | 1801255336 |
|---|---|
| Former Name | CHANNIEL ELIZABETH JONES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61385415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61385415) |
| 103K00000X Behavior Analyst (Licence: WA CG 60538304) | |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-04-22 |