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Individual
KWABENA SIAKA
Active
Individual
KWABENA SIAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16-11-25
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
21-02-30006
OR
101YM0800X
Mental Health Counselor
Primary
18QMHPC00019
OR
Other
Enumeration date
06/03/2015
Last updated
09/10/2026
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