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 | |||
Mental Health |
101YM0800X | |||
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI # | 1710251012 |
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| LBN Legal business name | ST JOSEPH COUNSELING & REHABILITATION SERVICES, INC | ||||
| Authorized official | KEN CHINWEZE - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/05/2012 | ||||
| Last updated | 04/16/2012 - About 14 years ago | ||||
| Identifiers |
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