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Individual
MR. IAN R NEVILLE
Active
Individual
MR. IAN R NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC-LP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P114348
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P114348
NEW YORK DEPARTMENT OF EDUCATION
NY
Enumeration date
05/05/2022
Last updated
06/07/2022
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