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Individual
MR. WILLIAM C OHEANEY
Active
Individual
MR. WILLIAM C OHEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001055
CT
101YP2500X
Professional Counselor
Primary
002828
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008048997
—
CT
Enumeration date
10/04/2013
Last updated
10/28/2015
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