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Individual
ELISE L NOLAND
Active
Individual
ELISE L NOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
104838
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
104838
CA
101YM0800X
Mental Health Counselor
104838
CA
101YP2500X
Professional Counselor
104838
CA
106H00000X
Marriage & Family Therapist
Primary
104838
CA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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