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Individual
MICHAEL L AGUE
Active
Individual
MICHAEL L AGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.178607
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.182247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464362
—
OH
Enumeration date
06/23/2021
Last updated
09/30/2022
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