Individual
JANE THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
128 IDLEWILD AVE, RALEIGH, NC 27601-1216
(919) 452-6715
Mailing address
128 IDLEWILD AVE, RALEIGH, NC 27601-1216
(919) 452-6715
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12494A
NC
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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