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Individual
MRS. CAROL JEANETTE COUNTS
Active
Individual
MRS. CAROL JEANETTE COUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008180
NULL
101YP2500X
Professional Counselor
LPC.0013370
NULL
163WM0705X
Medical-Surgical Registered Nurse
RN.1624661
CO
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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