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Individual
MR. NATHAN ALLEN CRAIN
Active
Individual
MR. NATHAN ALLEN CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CI40861123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI40861123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI40861123
CCAPP
CA
Enumeration date
04/09/2024
Last updated
05/06/2024
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