Individual
JAIME DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 GREENWAY RD, SUITE A-302, BOONE, NC 28607-3100
(828) 406-7560
Mailing address
279 SASKIA GRV, BANNER ELK, NC 28604-6545
(828) 297-2944
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8783
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
2299
NC
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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