Individual
Inactive
Individual
Inactive
Sole proprietor
Provider details
NPI number
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MCAP.0101104
FL
1041C0700X
Clinical Social Worker
Primary
23771
FL
Other
Enumeration date
—
Last updated
—
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