Individual
JAKE BRADLEY LAMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
8406 SIX FORKS RD STE 104, RALEIGH, NC 27615-3075
(919) 642-4857
Mailing address
8406 SIX FORKS RD STE 104, RALEIGH, NC 27615-3075
(919) 642-4857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18110
NC
101YM0800X
Mental Health Counselor
A18110
NC
Other
Enumeration date
12/06/2023
Last updated
12/27/2024
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