|Taxonomy Code||Specialty Code||Provider Type|
|1041C0700X||80||Licensed Clinical Social Worker|
|133V00000X||71||Registered Dietitian or Nutrition Professional|
|LBN Legal business name||THE CENTER FOR COUNSELING AND HEALTH RESOURCES, INC.|
|DBA Doing business as||THE CENTER, INC.|
|Authorized official||LAURA MINOR - (ADMINISTRATOR)|
|Organization subpart 1||Not specified|
|Last updated||07/08/2007 - About 9 years ago|
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|DAVID A SHIVELY, MA LMHC
20903 70TH W
17018 15TTH AVE NE
|LAUREN B HARRIS, M.C., LMFT
1424 NE 155TH ST.
|AUTUMN L RUSCIGNO CLINE
811 MADISON STREET
|JEFF G BAIRD, PH D
4526 FEDERAL AVE
|BROOKE A KENNAUGH, MA
1800 WESTLAKE AVE NORTH
|MICHELLE L OBERTACZ, N.D, L.A.C
409 15TH AVE E.
|PAMELA P POWEL, MSW LICSW
3130 EAST MADISON ST
|ANTHONY E LYON LOFTUS, PA-C
19917 7TH AVENUE