| 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 |