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 | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X | |||
Rehabilitation Counselor |
225C00000X | |||
Social Worker |
104100000X |
| NPI Number | 1568964039 |
| LBN Legal business name | KEEP A KID ON TRACK |
| Authorized official | WILLIAM CLARK - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/01/2018 |
| Last updated | 03/01/2018 - About 8 years ago |
| Identifiers | n/a |
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