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Individual

PETER WOHL

Active
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Individual

PETER WOHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC2233
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010288363
TAX ID
ME
05
—
295500099
—
ME
Enumeration date
01/24/2007
Last updated
07/09/2024
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