Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 101YP2500X | Counselor | Professional | PPC 246 | WYOMING | No |
| 2 | 101YP2500X | Counselor | Professional | NCC202665 | NORTH CAROLINA | No |
| 3 | 101YM0800X | Counselor | Mental Health | LPC 1466 | WYOMING | No |
| 4 | 101YP2500X | Counselor | Professional | LPC 1466 | WYOMING | No |
| 5 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 6 | 171M00000X | Case Manager/Care Coordinator | | | | Yes |