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Individual
NAZA BUNGU
Active
Individual
NAZA BUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1186
CT
101YP2500X
Professional Counselor
Primary
2029
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008045424
—
CT
Enumeration date
03/13/2011
Last updated
06/23/2020
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