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Individual
MR. RONALD D NORTHCUTT SR.
Active
Individual
MR. RONALD D NORTHCUTT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAADC-CA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A3201108
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCI04020315
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTHER
—
CA
Enumeration date
02/15/2011
Last updated
04/16/2024
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