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Individual
CARLOS MALAVER PARADA
Active
Individual
CARLOS MALAVER PARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LCP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BBH-LAC-LIC-62715
MT
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-31276
MT
Other
Enumeration date
04/10/2023
Last updated
04/15/2023
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