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Individual
JESSICA MCEACHERN
Active
Individual
JESSICA MCEACHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS, PLCSW, LCASP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
P005764
NC
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/03/2010
Last updated
07/04/2010
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