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Individual
MALIK ASHHALI
Active
Individual
MALIK ASHHALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS, MAC, CSI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC768
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-3040
NC
1041C0700X
Clinical Social Worker
12473
SC
1041C0700X
Clinical Social Worker
Primary
C009966
NC
Other
Enumeration date
12/12/2012
Last updated
01/04/2023
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