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Individual

MR. ELI MICHAEL

Active
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Individual

MR. ELI MICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, CDC1

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4582
AK
104100000X
Social Worker
AK
1041C0700X
Clinical Social Worker
Primary
172440
AK

Other

Enumeration date
07/10/2018
Last updated
03/05/2026
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