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Individual
MRS. JANNA ROUNTREE DAUGHERTY
Active
Individual
MRS. JANNA ROUNTREE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1359
NC
1041C0700X
Clinical Social Worker
Primary
C004722
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137JM
BCBSNC
NC
05
—
6007523
—
NC
Enumeration date
10/13/2009
Last updated
04/19/2012
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