Individual
JENNY REBECCA TART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 KILDAIRE FARM ROAD, SUITE 200, ROOM 3, CARY, NC 27511
(919) 589-3650
Mailing address
2706 VAN DYKE AVE, RALEIGH, NC 27607-7147
(919) 589-3650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5470
NC
101YP2500X
Professional Counselor
Primary
5470
NC
Other
Enumeration date
10/13/2006
Last updated
02/14/2024
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