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Individual
DHARMA RAJ PANTHA
Active
Individual
DHARMA RAJ PANTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1638
ND
101YM0800X
Mental Health Counselor
678-1-1-11
ND
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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