Individual
JEFFREY S MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24973
IN
101YM0800X
Mental Health Counselor
7475
CA
101YP2500X
Professional Counselor
Primary
7475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24973
MASTER ADDICTION SPECIALIST
IN
01
—
7475
PROFESSIONAL LICENSE NUMBER
—
Enumeration date
08/07/2021
Last updated
08/07/2021
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