Individual
JAMIE LYN VENZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
1409 EAST BLVD, CHARLOTTE, NC 28203-5817
(704) 492-1105
Mailing address
1409 EAST BLVD, CHARLOTTE, NC 28203-5817
(704) 492-1105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005067
NY
101YM0800X
Mental Health Counselor
Primary
10149
NC
Other
Enumeration date
06/19/2012
Last updated
10/04/2013
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