Organization Name: | INTENSIVE SUPERVISION AND COUNSELING SERVICES, LLC |
NPI Number: | 1811967813 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTIAN ROUSSEAU (DIRECTOR) |
Mailing Address: | 986 John Marshall Hwy Unit D Front Royal |
State: | VA US |
Postal Code: | 226304506 |
Phone Number: | 5406360068 |
Fax Number: | 5406354006 |
NPI Enumeration Date: | 01/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |