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NPI Profile for JOHN SMITH JR in SPARTANBURG, SC.
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 | |||
Case Manager/Care Coordinator |
171M00000X | |||
Mental Health |
101YM0800X | |||
Professional |
101YP2500X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1114464435 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/24/2017 | |
| Last updated | 01/24/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JOHN SMITH JR
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JOHN SMITH JR