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Individual
MISS JEWELL THOMPSON
Active
Individual
MISS JEWELL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, QMHP, CADC, PSS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25110
NC
171M00000X
Case Manager/Care Coordinator
—
NULL
175T00000X
Peer Specialist
2023-10462-01
NC
Other
Enumeration date
07/24/2015
Last updated
07/27/2024
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