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Individual
CHARLES I NEWELL
Active
Individual
CHARLES I NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1170 LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000742090
BCBS
MT
05
—
0256615
—
MT
Enumeration date
02/21/2007
Last updated
11/13/2009
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