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Provider Information for 1407085350


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JAMICA LASHAY LA FRANQUE LPC


Sex: Female

NPI: 1407085350
Last Updated: 2023-02-01
Certification Date: 2023-02-01

Details

NameValue
NPI1407085350
Enumeration Date2009-07-13
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3852 FRENCH FIELDS LN
HARRISBURG, NC 28075-9695
United States

Phone: 980-230-7517 | Fax:
 
Primary Practice Address 9611 BROOKDALE DR STE 100-262
CHARLOTTE, NC 28215-8719
United States

Phone: 980-230-7517 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalNC7099