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Individual
JAMES ANTHONY CHESTNUT
Active
Individual
JAMES ANTHONY CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADDICTION SPECIALIST
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A0950315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0950315
CCAPP
CA
Enumeration date
03/29/2018
Last updated
03/29/2018
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