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Individual

MR. JARRETT LAMONT EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC, LCAS-A, NCC

Contact information

Practice address
XXXXXX, CHARLOTTE, NC 28262-8797
(704) 649-7347
Mailing address
11845 RIDGEWAY PARK DR, CHARLOTTE, NC 28277-2989
(704) 649-7347

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12879
NC
101YP2500X
Professional Counselor
A12879
NC

Other

Enumeration date
04/01/2017
Last updated
10/21/2020
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