NPI | 1811404684 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY ROBESON EASLEY Co Owner / Therapist 707-246-2117 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2018-01-03 |
Last Update Date | 2018-01-03 |