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Individual
MS. PHYLLIS JEAN JARVINEN
Active
Individual
MS. PHYLLIS JEAN JARVINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
935
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046UO
BCBS PROVIDER #
NC
05
—
6107341
—
NC
Enumeration date
01/09/2007
Last updated
03/06/2012
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