NPI | 1861205213 |
---|---|
Other Name | VICTOR QUIROGA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-CRM-II-0306) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 25-09-11623) |
Enumeration Date | 2025-01-29 |
Last Update Date | 2025-09-18 |