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Individual

CLINT TREST

Active
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Individual

CLINT TREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
22319
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
901732
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61142303
WA

Other

Enumeration date
11/04/2016
Last updated
08/20/2021
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