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 | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X |
| NPI # | 1245487115 |
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| LBN Legal business name | AGENTS OF CHANGE COUNSELING, LLC | ||||||||||||||||
| Authorized official | NOEMI PACIOREK - (PARTNER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 08/22/2008 | ||||||||||||||||
| Last updated | 08/22/2008 - About 18 years ago | ||||||||||||||||
| Identifiers |
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