| NPI | 1851767305 |
|---|---|
| Other Name | MATT RYAN ANGLEMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014852) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2020-08-30 |