Individual
CHASE IJAMS
Active
Individual
CHASE IJAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW-A, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-29386
NC
1041C0700X
Clinical Social Worker
Primary
P019046
NC
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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