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Individual
CHANON SETHABUTRA
Active
Individual
CHANON SETHABUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401225145
MI
101YP2500X
Professional Counselor
6451022184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6451022184
STATE OF MICHIGAN
MI
Enumeration date
08/16/2022
Last updated
06/05/2025
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