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Individual
NIDAL JIANNI
Active
Individual
NIDAL JIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA-R
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21-QMHA-R-1903
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500797090
—
OR
Enumeration date
08/16/2021
Last updated
05/27/2022
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