Individual
JENNIFER EVON THAKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 EXECUTIVE CIR STE A, CARY, NC 27511-4571
(919) 391-1000
Mailing address
364 RALEIGH ST, HOLLY SPRINGS, NC 27540-9047
(919) 647-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16686
NC
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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