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Individual
MR. SHAUN CHRISTOPHER O'MALLEY
Active
Individual
MR. SHAUN CHRISTOPHER O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CATC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
167723II
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6418
SUDCC IV
CA
Enumeration date
09/14/2010
Last updated
12/20/2022
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