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Individual
MR. PAUL BRANDON SHEESLEY
Active
Individual
MR. PAUL BRANDON SHEESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC5267
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC5267
MD
101YM0800X
Mental Health Counselor
LC5267
MD
Other
Enumeration date
09/30/2013
Last updated
05/27/2014
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