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Individual
CHAD MICHEAL MAXON
Active
Individual
CHAD MICHEAL MAXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, CAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
26022072
SD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17091759
SD
Other
Enumeration date
09/27/2023
Last updated
03/04/2026
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