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Individual
SHAWN DIMITRI ROUSE
Active
Individual
SHAWN DIMITRI ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA186118
OH
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
OH
Other
Enumeration date
02/19/2020
Last updated
07/31/2024
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