Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor | ||
N | 1041C0700X | Clinical Social Worker | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1164556379 |
---|---|
Provider Name | Jamika Roshun Trannon |
First Address | High Point, NC 27265-9303 |
Second Address | Winston Salem, NC 27106-3261 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |