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A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Community/Behavioral Health |
251S00000X |
| NPI # | 1023745908 |
| LBN Legal business name | REVIVE RECOVERY |
| Authorized official | SHERRYL YORK - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/02/2022 |
| Last updated | 08/02/2022 - About 4 years ago |
| Identifiers | n/a |
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