Individual provider · Type 1 NPI

Tadana Prayer Jennette

Professional Counselor · Greenville, NC

NPI number 1083082689 Active

Practice location

620 Lynndale Ct Ste C
Greenville, NC 27858-5462

Call (252) 814-5564 Map

Mailing address

3 Palmetto Pl
Greenville, NC 27858-5011

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X3567 (NC)
Professional Counselor 101YP2500XA12098 (NC)
Professional Counselor Primary 101YP2500X12098 (NC)

Professional Counselor: Definition to come...

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About NPI 1083082689

Tadana Prayer Jennette's National Provider Identifier is 1083082689, issued on Sep 14, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenville, NC. The record was last updated on Oct 15, 2021.