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Individual
SEPHORA LORTIE
Active
Individual
SEPHORA LORTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LAC, MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
86000377A
IN
101YM0800X
Mental Health Counselor
Primary
39003332A
IN
Other
Enumeration date
08/16/2017
Last updated
04/17/2024
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