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Individual
WILLIAM STONEBRAKER III
Active
Individual
WILLIAM STONEBRAKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101081
CHEMICAL DEPENDENCY COUNSELOR LICENSE
OH
Enumeration date
05/29/2018
Last updated
05/29/2018
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