person
Tadana Prayer Jennette
Professional Counselor in Greenville, North Carolina
NPI 1083082689

Tadana Prayer Jennette is a Professional Counselor based in Greenville, NC and is specialized in Professional. Tadana Prayer Jennette practices in Greenville, NC. The NPI Number for Tadana Prayer Jennette is 1083082689 and holds a License No. 3567 (North Carolina).

The current practice location address for Tadana Prayer Jennette is 620 Lynndale Ct Ste C, Greenville, NC and can be reached out via phone at 252-814-5564.

Location: 620 Lynndale Ct Ste C, Greenville, NC, 27858-5011
person
Provider Profile Details
NPI Number
1083082689
Provider Name
Tadana Prayer Jennette
Credential
Provider Entity Type
Individual
Gender
Female
Address
620 Lynndale Ct Ste C, Greenville, NC, 27858-5011
Phone Number
252-814-5564
Fax Number
Provider Enumeration Date
09/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3567 01 NC LICENSED CLINICAL ADDICTIONS SPECIALIST
12098 01 NC LICENSED CLINICAL MENTAL HEALTH COUNSELOR
institution
Provider Business Practice Location Address Details
Address
620 Lynndale Ct Ste C
City
State
Zip
27858-5462
Phone Number
252-814-5564
Fax Number
person
Provider Business Mailing Address Details
Address
620 Lynndale Ct Ste C
City
State
Zip
27858-5462
Phone Number
252-814-5564
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A12098 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3567 (North Carolina)
Definition
Definition to come...
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