| NPI | 1811388911 |
|---|---|
| Former Name | JACE REID COLLMAN-MURPHY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3523) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2025-02-26 |