Individual
NATE MAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. CAP
Contact information
Practice address
2420 S HIGHWAY 29, CANTONMENT, FL 32533-5808
(850) 968-3565
Mailing address
2420 S HIGHWAY 29, CANTONMENT, FL 32533-5808
(850) 968-3565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-008636-2015
FL
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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