NPI | 1922110568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0004239) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 944129) |
101YM0800X Counselor, Mental Health (Licence: OH E0004239) | |
101YP1600X Counselor, Pastoral (Licence: OH E0004239) | |
106H00000X Marriage & Family Therapist (Licence: OH E0004239) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-05-24 |