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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 | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1821407503 |
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| LBN Legal business name | INDIGO COUNSELING SERVICES, INC | ||||||||||||
| Authorized official | GREGG RICHARDS - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/07/2014 | ||||||||||||
| Last updated | 08/07/2014 - About 12 years ago | ||||||||||||
| Identifiers |
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INDIGO COUNSELING SERVICES, INC
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INDIGO COUNSELING SERVICES, INC