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Individual
DAVD PANAKI
Active
Individual
DAVD PANAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS,CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27215
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27215
ILLINOIS CERTIFICATION BOARD INC
IL
Enumeration date
04/12/2016
Last updated
04/12/2016
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