| NPI | 1922415231 |
|---|---|
| Professional Name | SCOTT MICHAEL STAUBACH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13008) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 2342) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2018-06-16 |