| NPI | 1942791991 |
|---|---|
| Other Name | CARISSA MARIE COLCHIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 140320) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |