NPI | 1821340977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC4199) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI LPC8031-125) |
101YP2500X Counselor, Professional (Licence: CO LPC16308) | |
101YP2500X Counselor, Professional (Licence: KS LCPC02928) | |
101YP2500X Counselor, Professional (Licence: IN LMHC39003814A) | |
Enumeration Date | 2012-10-12 |
Last Update Date | 2021-10-26 |