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Individual
MR. ERIC ANTHONY TAVERAS
Active
Individual
MR. ERIC ANTHONY TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CT
101YM0800X
Mental Health Counselor
Primary
5281
CT
101YP1600X
Pastoral Counselor
—
CT
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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