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Individual
SAMUEL SILON AXELRATH
Active
Individual
SAMUEL SILON AXELRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0012774
CO
103TC1900X
Counseling Psychologist
0000000000
CO
Other
Enumeration date
05/28/2013
Last updated
03/15/2021
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