Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Counselor |
101Y00000X | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X |
| NPI Number | 1063901833 |
| LBN Legal business name | INNERESSENCE COUNSELING AND CLINICAL HYPNOTHERAPY |
| Authorized official | CAROLYN SIMON - (OWNER/PROFESSIONAL COUNSELOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/07/2018 |
| Last updated | 05/07/2018 - About 8 years ago |
| Identifiers | n/a |
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