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Individual
KOODRUT PANESAR
Active
Individual
KOODRUT PANESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SUDRC22829
CA
101YM0800X
Mental Health Counselor
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/07/2021
Last updated
10/01/2025
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