Organization · Type 2 NPI
Cognitive Behavioral Health LLC
Counselor · Hoschton, GA
NPI number
1972635407
Active
Practice location
5415 Thompson Mill Road Ste B, Dr Devin Vicknair
Hoschton, GA 30548
Fax (770) 783-8927
Mailing address
3004 Mill Grove Ter
Dacula, GA 30019-5019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 003253 (GA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1972635407
Cognitive Behavioral Health LLC's National Provider Identifier is 1972635407, issued on Mar 10, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hoschton, GA. The record was last updated on May 28, 2008.