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Individual
BERTRAM J PARTIN
Active
Individual
BERTRAM J PARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R/CRM/PSS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22-CRM-826
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-598
OR
175T00000X
Peer Specialist
THW000106269
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500801186
—
OR
05
—
500805610
—
OR
Enumeration date
09/23/2021
Last updated
10/20/2022
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