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Individual

JANE ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, CRC, LPC

Contact information

Practice address
3725 NATIONAL DR, STE 123, RALEIGH, NC 27612-4066
(919) 781-3149
(919) 781-8593
Mailing address
3725 NATIONAL DR, STE 123, RALEIGH, NC 27612-4066
(919) 781-3149
(919) 781-8593

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
647
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
647
LPC
NC
Enumeration date
03/18/2009
Last updated
03/18/2009
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