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Individual

JOHN CHUMA III

Active
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Individual

JOHN CHUMA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
Primary
PS017440
PA
106H00000X
Marriage & Family Therapist
47128
CA

Other

Enumeration date
09/20/2006
Last updated
11/19/2013
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