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Individual
SEIJI WALLIS
Active
Individual
SEIJI WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LAC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000928
CO
101YP2500X
Professional Counselor
Primary
LPC.0014166
CO
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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