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Individual
JAKARA TANISE SCURRY
Active
Individual
JAKARA TANISE SCURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, LCASA,NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27426
NC
101YM0800X
Mental Health Counselor
Primary
16652
NC
Other
Enumeration date
09/05/2023
Last updated
07/10/2024
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