Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1629136973 |
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| LBN Legal business name | JOURNEYS COUNSELING ASSOC INC | ||||
| Authorized official | KENNETH OSBORNE - (PRESIDENT COUNSELOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/05/2006 | ||||
| Last updated | 11/29/2007 - About 19 years ago | ||||
| Identifiers |
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