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Individual
MARTIN WEISHAAR
Active
Individual
MARTIN WEISHAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPAT, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC10198
MD
101YM0800X
Mental Health Counselor
ATC251
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
589044600
MEDICAID
MD
01
—
60054
AETNA
MD
01
—
833319030
CIGNA
MD
01
—
EJ14-0000
BLUE CROSS BLUE SHIELD
MD
Enumeration date
02/04/2019
Last updated
12/31/2020
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