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Individual
ANDREW AXEL
Active
Individual
ANDREW AXEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS, CADC-R
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-18-552
OR
175T00000X
Peer Specialist
12-CRM-19
OR
Other
Enumeration date
06/11/2021
Last updated
11/23/2021
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