Organization Name: | FRONTIER PSYCHOLOGICAL ASSOCIATES |
NPI Number: | 1679622393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIET L JETT (CO OWNER) |
Mailing Address: | 724 Front Street Suite 230 Evanston |
State: | WV US |
Postal Code: | 82930 |
Phone Number: | 3077896773 |
Fax Number: | 3077893244 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |