Individual
MR. NOBLE LEON SHAVER JR.
Active
Individual
MR. NOBLE LEON SHAVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC CSAC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2995
MO
101YP2500X
Professional Counselor
Primary
2006038624
MO
Other
Enumeration date
07/20/2007
Last updated
01/21/2009
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