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Individual
MR. ELDON R SOLOMON
Active
Individual
MR. ELDON R SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, MS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000239A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321933
BC/BS #
IN
01
—
000000492161
BCBS
IN
01
—
300356029
CIGNA
IN
Enumeration date
11/16/2005
Last updated
01/02/2015
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