NPI | 1942546965 |
---|---|
Professional Name | JASON RANDALL WHISNANT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9885) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A9885) |
101YP2500X Counselor, Professional (Licence: NC 9885) | |
Enumeration Date | 2012-12-19 |
Last Update Date | 2018-05-08 |