Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1154809283 |
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| LBN Legal business name | BLUE SKY COUNSELING ASSOCIATES | ||||
| Authorized official | SCOTT KIMBALL - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/31/2018 | ||||
| Last updated | 10/27/2020 - About 6 years ago | ||||
| Identifiers |
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BLUE SKY COUNSELING ASSOCIATES
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