# IVAN TOLDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174060925
- **Gender:** Man
- **Credential:** RAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1512 | LA | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 08/13/2020