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Individual

TAHARA NICOLE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAS-A,QMHP

Contact information

Practice address
8648 OLD POTTERS RD, CHARLOTTE, NC 28269-0927
(704) 661-9654
Mailing address
8648 OLD POTTERS RD, CHARLOTTE, NC 28269-0927
(704) 661-9654

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3472-A
NC

Other

Enumeration date
08/24/2009
Last updated
09/26/2013
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