Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Social Worker |
104100000X |
| NPI Number | 1659596492 |
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| LBN Legal business name | COUNSELING RESOURCES, INC. | ||||||||
| Authorized official | KERRI CLOCK - (EXEC ASSISTANT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/16/2007 | ||||||||
| Last updated | 09/18/2019 - About 7 years ago | ||||||||
| Identifiers |
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