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Individual
MR. MICHAEL DENNIS NELSON
Active
Individual
MR. MICHAEL DENNIS NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.U.D.C.C. III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
03-097228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA041X
CERTIFIED COUNSELOR
CA
Enumeration date
09/06/2011
Last updated
09/29/2021
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