Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1326254954 |
| LBN Legal business name | APPLE VALLEY COUNSELING SERVICES LLC |
| Authorized official | TANNER RAPP - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/14/2007 |
| Last updated | 11/29/2023 - About 3 years ago |
| Identifiers | n/a |
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