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Individual
MICHAEL Q NOLAN
Active
Individual
MICHAEL Q NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A011980315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016103
NCCAP
CA
01
—
A011980315
CCAPP
CA
Enumeration date
08/03/2017
Last updated
09/11/2018
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