NPI | 1124092911 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY BRIAN VANMETER Executive Director 877-443-7030 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YM0800X Counselor Mental Health | |
101YP2500X Counselor Professional | |
103T00000X Psychologist | |
103TA0700X Psychologist Adult Development & Aging | |
103TB0200X Psychologist Cognitive & Behavioral | |
103TC0700X Psychologist Clinical (Licence: IL 071.006312) | |
103TC2200X Psychologist Clinical Child & Adolescent | |
103TF0000X Psychologist Family | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical (Licence: IL 149.008075) | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2006-02-16 |
Last Update Date | 2024-04-05 |