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Individual
MR. JONATHAN SCOTT CANTY
Active
Individual
MR. JONATHAN SCOTT CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC II
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CO
101Y00000X
Counselor
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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