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Individual
MONICA POULSEN
Active
Individual
MONICA POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-CAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C033560415
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
CA
Enumeration date
07/01/2015
Last updated
01/08/2019
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