| NPI | 1851079313 |
|---|---|
| Former Name | KRISTEN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184815) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |