| NPI | 1972028223 |
|---|---|
| Other Name | CHRIS CHEADLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 7256) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2019-08-16 |