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Individual
TOM JOHN NEWELL
Active
Individual
TOM JOHN NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MFT24309
CA
106H00000X
Marriage & Family Therapist
24309
CA
Other
Enumeration date
01/25/2007
Last updated
08/11/2014
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