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Individual

DR. JOHN NMN YASENCHAK

Active
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Individual

DR. JOHN NMN YASENCHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED. D

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC 1226
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC 105
COUNSELOR
ME
01
—
CCS 3182
COUNSELOR
ME
01
—
LC 1226
COUNSELOR
ME
Enumeration date
11/07/2006
Last updated
07/08/2007
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