NPI | 1952569139 |
---|---|
Other Name | KATHY STOTT JEFFCOAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 3645) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH 3645) |
Enumeration Date | 2008-05-24 |
Last Update Date | 2016-06-10 |