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Individual
NATHAN JAMES VEGTER
Active
Individual
NATHAN JAMES VEGTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, CADC.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30556
IL
101YP2500X
Professional Counselor
Primary
178013571
IL
Other
Enumeration date
07/12/2017
Last updated
10/17/2018
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