| 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 | 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TF0000X Psychologist Family | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical (Licence: IL 149.008075) | |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical (Licence: IL 071.006312) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2024-04-05 |