Individual
NATHAN LEE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMSW, LCSWA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21181
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
762
SC
1041C0700X
Clinical Social Worker
Primary
11230
SC
Other
Enumeration date
06/22/2015
Last updated
07/26/2023
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