Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Marriage & Family Therapist |
106H00000X |
| NPI Number | 1851893853 |
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| LBN Legal business name | ACHIEVE CONNECTION COUNSELING | ||||||||
| Authorized official | NICOLE GRIFFITH - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/06/2018 | ||||||||
| Last updated | 03/06/2018 - About 8 years ago | ||||||||
| Identifiers |
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