Individual provider · Type 1 NPI
Jakara Tanise Scurry, MA, LCMHC, LCASA, NCC
Mental Health Counselor · Raleigh, NC
NPI number
1871379925
Active
Practice location
2815 Cates Avenue Nc State Counseling Center
Raleigh, NC 27695-0001
Mailing address
8118 Primanti Blvd
Raleigh, NC 27612-7417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-27426 (NC) |
| Mental Health Counselor Primary | 101YM0800X | 16652 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1871379925
Jakara Tanise Scurry, MA, LCMHC, LCASA, NCC's National Provider Identifier is 1871379925, issued on Sep 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Jul 10, 2024.