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Individual
DR. NATHAN CHURCH
Active
Individual
DR. NATHAN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
1744R1102X
Research Study Specialist
—
—
174H00000X
Health Educator
—
—
174V00000X
Clinical Ethicist
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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