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Individual
MI CAO
Active
Individual
MI CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004766
CT
101YM0800X
Mental Health Counselor
012299
NY
101YM0800X
Mental Health Counselor
Primary
37PC00579300
NJ
101YM0800X
Mental Health Counselor
LMHC12458
MA
101YM0800X
Mental Health Counselor
LPCC9794
CA
Other
Enumeration date
06/02/2020
Last updated
05/10/2024
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