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Individual
STEPHEN GUNNAR WASSATHER
Active
Individual
STEPHEN GUNNAR WASSATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16640
CA
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2024
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