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NPI Profile for SECOND START LLC in NORFOLK, VA.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Social Worker |
104100000X |
| NPI # | 1114449162 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/12/2017 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SECOND START, LLC
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SECOND START, LLC