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NPI Profile for BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC in ANNISTON, AL.
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 | |||
Behavior Analyst |
103K00000X | |||
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X |
| NPI # | 1427442169 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/19/2015 | |
| Last updated | 04/21/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC
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BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC