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Individual
JAMIE SAGE SPEAR TANZER
Active
Individual
JAMIE SAGE SPEAR TANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014594
NY
101YM0800X
Mental Health Counselor
P116916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014594
LICENSE NUMBER
NY
01
—
P116916
LIMITED PERMIT NUMBER
NY
Enumeration date
08/31/2022
Last updated
08/01/2024
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