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Individual
MR. BRIAN JAY GAUTHIER
Active
Individual
MR. BRIAN JAY GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01496-L
NV
101YM0800X
Mental Health Counselor
7132-C
NV
104100000X
Social Worker
7132-C
NV
1041C0700X
Clinical Social Worker
Primary
7132-C
NV
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
09/06/2006
Last updated
05/26/2016
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