NPI | 1871294041 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN JOSEPH ROCHE Owner/Lpc 315-515-1545 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2023-03-15 |
Last Update Date | 2023-03-15 |