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Individual
MR. SCOTT MICHAEL STAUBACH
Active
Individual
MR. SCOTT MICHAEL STAUBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13008
NC
101YM0800X
Mental Health Counselor
2342
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13008
LICENSE
NC
Enumeration date
07/18/2014
Last updated
06/16/2018
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