Individual
MIA ROYNAE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21137
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
05/15/2017
Last updated
04/21/2021
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