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Individual
MECCA EAST
Active
Individual
MECCA EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
174H00000X
Health Educator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
374J00000X
Doula
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/10/2018
Last updated
07/07/2025
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