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Individual
NICOLAS TOWNES
Active
Individual
NICOLAS TOWNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97708957F64230
MEDICAL
CA
Enumeration date
09/08/2014
Last updated
09/08/2014
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