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Individual

JODIE COMMIATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., LMFTA

Contact information

Practice address
110 BRANCHWOOD DR, B, JACKSONVILLE, NC 28540
(910) 938-9833
(910) 938-9835
Mailing address
110 BRANCHWOOD DR, B, JACKSONVILLE, NC 28540
(910) 938-9833
(910) 938-9835

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11024A
NC
106H00000X
Marriage & Family Therapist
80035
CA

Other

Enumeration date
11/11/2014
Last updated
03/18/2016
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