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Individual
MARK ALEXANDER MANN JR.
Active
Individual
MARK ALEXANDER MANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28620
NC
101YM0800X
Mental Health Counselor
Primary
A17718
NC
Other
Enumeration date
09/07/2022
Last updated
12/20/2022
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