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Individual
JESSICA LYNN BLOCK
Active
Individual
JESSICA LYNN BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPCA, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
830000
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
23992
NC
101YM0800X
Mental Health Counselor
Primary
A13591
NC
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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