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Individual
MR. JASON LLOYD LEVINE
Active
Individual
MR. JASON LLOYD LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26118
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSAC-24507
NC
1041C0700X
Clinical Social Worker
Primary
P015364
NC
Other
Enumeration date
04/17/2019
Last updated
10/25/2020
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