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Individual
MARK PAQUET
Active
Individual
MARK PAQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156865 IV
ACCBC
CA
Enumeration date
04/22/2015
Last updated
11/23/2015
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