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Community Impact Alliance
Counselor in Johnson City, Tennessee
NPI 1811202500

Community Impact Alliance is a Counselor based in Johnson City, TN. Community Impact Alliance practices in Johnson City, TN. The NPI Number for Community Impact Alliance is 1811202500 and holds a License No. (Tennessee).

The current practice location address for Community Impact Alliance is 2266 N Roan St, Johnson City, TN and can be reached out via phone at 423-262-0180 and via fax at 423-262-0181.

Location: 2266 N Roan St, Johnson City, TN, 37601-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811202500
Provider Name
Community Impact Alliance
Credential
Provider Entity Type
Organization
Address
2266 N Roan St, Johnson City, TN, 37601-2527
Phone Number
423-262-0180
Fax Number
423-262-0181
Provider Enumeration Date
08/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2266 N Roan St
City
Johnson City
State
Tennessee
Zip
37601-2527
Phone Number
423-262-0180
Fax Number
423-262-0181
person
Provider Business Mailing Address Details
Address
2266 N Roan St
City
Johnson City
State
Tennessee
Zip
37601-2527
Phone Number
423-262-0180
Fax Number
423-262-0181
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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's degree and clinical experience and supervision for licensure or certification.
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