NPI | 1730736836 |
---|---|
Professional Name | ADVANCED BEHAVIORAL THERAPY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018354) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001912) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2022-12-27 |