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Individual
NICK ASHOK SHAH
Active
Individual
NICK ASHOK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
121043
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
121043
CA
Other
Enumeration date
09/01/2020
Last updated
08/02/2021
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