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Individual
MAXXWELL WEST MYERS
Active
Individual
MAXXWELL WEST MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001291
CO
101YP2500X
Professional Counselor
Primary
LPC.0015854
CO
Other
Enumeration date
01/30/2015
Last updated
07/07/2020
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