Individual
JILLIAN BRAATEN BAZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
136 MINE LAKE CT, RALEIGH, NC 27615-6417
(919) 424-7975
Mailing address
2512 BRIAR CHAPEL PKWY, CHAPEL HILL, NC 27516-8457
(919) 749-7370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10679
NC
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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