NPI | 1962918029 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303618) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161617) |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional (Licence: OH C.1801263) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-12-27 |
Last Update Date | 2024-10-20 |