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Individual

TAQUITTA REANEE THORNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
102L00000X
Psychoanalyst
103K00000X
Behavior Analyst
103TF0200X
Forensic Psychologist
Primary
103TP2701X
Group Psychotherapy Psychologist
1744R1102X
Research Study Specialist
174H00000X
Health Educator
247200000X
Other Technician
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
01/23/2020
Last updated
01/23/2020
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