Individual
JESSICA NADINE LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
215 3RD AVE, ALBEMARLE, NC 28001-4409
(980) 581-4305
Mailing address
215 3RD AVE, ALBEMARLE, NC 28001-4409
(704) 640-3487
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12021A
NC
Other
Enumeration date
05/25/2017
Last updated
07/01/2020
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