Individual
MS. JEMARIAN CHANTINEL BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 EXECUTIVE CENTER DR STE 118, CHARLOTTE, NC 28212-8851
(980) 777-3650
Mailing address
7015 FRYE PL, CHARLOTTE, NC 28269-2811
(980) 293-6009
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10008A
NC
Other
Enumeration date
09/18/2023
Last updated
10/02/2023
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