NPI | 1841673761 |
---|---|
Former Name | JOSEPH STAHL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00511800) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00193300) |
Enumeration Date | 2015-07-09 |
Last Update Date | 2021-10-27 |