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Individual
MS. KARLESIA TIARA MONTAGUE
Active
Individual
MS. KARLESIA TIARA MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCA, LCASA, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21522
NC
101YM0800X
Mental Health Counselor
Primary
A12394
NC
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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