NPI | 1821636895 |
---|---|
Former Name | RACHELLE ANN VARGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172347) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168519) |
Enumeration Date | 2019-12-20 |
Last Update Date | 2023-09-20 |