Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Art Therapist |
221700000X | |||
Counselor |
101Y00000X |
| NPI # | 1154091494 |
| LBN Legal business name | ARTSOUL THERAPY LLC |
| Authorized official | JENNA DEBRYN - (ART THERAPIST AND COUNSELOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/17/2021 |
| Last updated | 02/02/2022 - About 4 years ago |
| Identifiers | n/a |
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