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Individual

JODECI MARIE OQUENDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1235 EAST BLVD STE E1778, CHARLOTTE, NC 28203-5870
(860) 253-2449
Mailing address
1235 EAST BLVD STE E1778, CHARLOTTE, NC 28203-5870
(860) 253-2449

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19040
NC
101YM0800X
Mental Health Counselor
6367
CT

Other

Enumeration date
05/24/2017
Last updated
08/19/2025
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