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Individual
TYEASIA K DORSEY
Active
Individual
TYEASIA K DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14234
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21899
NC
103TP2701X
Group Psychotherapy Psychologist
21899
NC
Other
Enumeration date
07/11/2019
Last updated
02/26/2023
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