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Individual
MICHAEL ROUSE
Active
Individual
MICHAEL ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
170009
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
APP-000218442
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730646712
—
OH
Enumeration date
02/26/2019
Last updated
04/22/2024
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