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Individual
MR. PAUL PATRICK POMMELLS I
Active
Individual
MR. PAUL PATRICK POMMELLS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADPT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7549
CA
1041C0700X
Clinical Social Worker
Primary
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00
00
CA
Enumeration date
10/31/2018
Last updated
08/05/2026
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