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Individual
MIKE R STEWART
Active
Individual
MIKE R STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV, MA,, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
N C 2703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10087
BLUE CROSS BLUE SHIELD NC
NC
01
—
2116300
MAMSI
NC
05
—
6102372
—
NC
01
—
69876
MEDCOST
NC
Enumeration date
10/10/2006
Last updated
07/08/2007
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