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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 | |||
Community/Behavioral Health |
251S00000X |
| NPI Number | 1073682357 |
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| LBN Legal business name | MY HEALING SPACE | ||||||||||||||||||||||||
| Authorized official | LOUIE ATENCIO - (THERAPIST OWNER) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 11/08/2006 | ||||||||||||||||||||||||
| Last updated | 07/15/2008 - About 18 years ago | ||||||||||||||||||||||||
| Identifiers |
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MY HEALING SPACE
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MY HEALING SPACE