Provider / Organization | NPI | Date Certified |
---|---|---|
A CLEAN SLATE COUNSELING LLC | 1073117933 | 2020-11-22 |
The organization A Clean Slate Counseling Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1073117933. Registration indicates A Clean Slate Counseling Llc is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
Code | Practice | License No State |
---|---|---|
101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor |