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Individual
FRANCES ERNESTINE TACK
Active
Individual
FRANCES ERNESTINE TACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, LCAS, CCS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC 2763
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS 675
NC
Other
Enumeration date
09/30/2007
Last updated
09/09/2010
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