Individual
JAMARAL D REASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 OGDEN ST, GREENSBORO, NC 27406-2227
(336) 508-8613
Mailing address
1409 OGDEN ST, GREENSBORO, NC 27406-2227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25084
NC
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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