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Individual
CHESTER R RALEIGH
Active
Individual
CHESTER R RALEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103290
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161836
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2017
Last updated
07/29/2024
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