NPI | 1982633673 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMA THURMAN Licensed Mental Health Counselor 239-243-8098 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 11424) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003634) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2013-04-04 |