Individual
JAMIE POVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8832 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6809
(980) 446-3567
Mailing address
3811 BISON HILL LN, RALEIGH, NC 27604-5010
(919) 607-0839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20162
NC
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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