| Name | Value |
|---|---|
| PROVIDER TYPE | Behavioral Health & Social Service Providers |
| CLASSIFICATION | Psychologist |
| DEFINITION | A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. |
| AREA OF SPECIALIZATION | Addiction (Substance Use Disorder) |
| STATUS | Active |
| VA CODE | V010409 |
| X12 CODE | 103TA0400X |
| SPECIALTY CODE | 62 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252324 |
| EFFECTIVE DATE/TIME |
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