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Individual
MR. NATHANIEL EDISON PONDER
Active
Individual
MR. NATHANIEL EDISON PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CCS, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01605
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
1041C0700X
Clinical Social Worker
Primary
6801117080
MI
Other
Enumeration date
09/09/2020
Last updated
05/20/2026
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