Individual
MRS. JOKENA C ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
204 MUIRS CHAPEL RD, SUITE 105, GREENSBORO, NC 27410-6173
(336) 609-6251
(336) 834-0442
Mailing address
204 MUIRS CHAPEL RD, SUITE 105, GREENSBORO, NC 27410-6173
(336) 609-6251
(336) 834-0442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1340
NC
106H00000X
Marriage & Family Therapist
4101006286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213119549
—
MI
05
—
6105279
—
NC
Enumeration date
06/25/2009
Last updated
12/31/2012
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