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NPI Profile for FOUNDATION A WELLNESS PRACTICE LLC in JONESBORO, AR.
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 | |||
Behavior Analyst |
103K00000X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X | |||
Professional |
101YP2500X |
| NPI Number | 1750878203 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/20/2018 | |
| Last updated | 09/28/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FOUNDATION: A WELLNESS PRACTICE, LLC
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FOUNDATION: A WELLNESS PRACTICE, LLC