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Individual
TANYA ST. JULIEN
Active
Individual
TANYA ST. JULIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9452
NC
101YM0800X
Mental Health Counselor
Primary
9452
NC
101YP2500X
Professional Counselor
9452
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639430408
BLUE CROSS BLUE SHEILD
NC
05
—
1639430408
—
NC
01
—
163943408
CIGNA
NC
01
—
9452
LICENSED PROFESSIONAL COUNSELOR
NC
Enumeration date
06/07/2012
Last updated
02/02/2015
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