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Individual
MR. XAVIER MANUEL MOUNTAIN
Active
Individual
MR. XAVIER MANUEL MOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ACSW93178
CA
104100000X
Social Worker
ACSW93178
CA
1041C0700X
Clinical Social Worker
Primary
ACSW93178
CA
390200000X
Student in an Organized Health Care Education/Training Program
ACSW93178
CA
Other
Enumeration date
03/09/2020
Last updated
04/30/2021
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