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NPI Profile for CHARLES B PRUITT in REX, GA.
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 | |
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Behavior Analyst |
103K00000X | |||
Behavior Technician |
106S00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X | |||
Prescribing (Medical) |
103TP0016X | 62 | Psychologist, Clinical | |
Professional |
101YP2500X | |||
Social Worker |
104100000X |
| NPI Number | 1437398799 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/10/2009 | |
| Last updated | 04/22/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CHARLES B PRUITT
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CHARLES B PRUITT