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Individual

JESSICA LEVY AUSLANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS, LPCA

Contact information

Practice address
3820 LITCHFIELD DR, WAXHAW, NC 28173-7179
(704) 277-4760
Mailing address
3820 LITCHFIELD DR, WAXHAW, NC 28173-7179
16145603905

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A13016
NC
101Y00000X
Counselor
C1200554
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
141070
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-23545
NC

Other

Enumeration date
07/17/2017
Last updated
07/17/2017
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