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NPI Profile for AUTHENTIC RECOVERY LLC in WATERBURY, CT.
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 | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Mental Health |
101YM0800X | |||
Professional |
101YP2500X | |||
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Social Worker |
104100000X |
| NPI Number | 1285040675 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/07/2014 | |
| Last updated | 01/12/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AUTHENTIC RECOVERY, LLC
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AUTHENTIC RECOVERY, LLC