Individual
JERMYKO SHONTIA BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1000 N 1ST ST STE 1, ALBEMARLE, NC 28001-2819
(704) 983-2117
Mailing address
1305 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/07/2007
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