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Individual
JENNIE C MAYER
Active
Individual
JENNIE C MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15031688
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH2319
SD
101YM0800X
Mental Health Counselor
LPC7237
SD
Other
Enumeration date
04/01/2015
Last updated
03/17/2018
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