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Individual
MATHEW MILLESON
Active
Individual
MATHEW MILLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2026-0335
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/27/2026
Last updated
06/09/2026
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