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Individual
RAYMOND ISACKILA
Active
Individual
RAYMOND ISACKILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
E2908
OH
101YP2500X
Professional Counselor
E2908
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224146
UNISON
OH
01
—
000000533024
ANTHEM
OH
01
—
363655
WELLCARE MEDICAID
OH
01
—
7793607
AETNA
OH
Enumeration date
07/15/2006
Last updated
01/15/2021
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