Jan Mallory Tate, LCSW, MED, CSOTP
NPI #1508375973 in Mebane, North Carolina
Provider Information
- NPI Number
- 1508375973
- Entity Type
- Individual
- Name
- Jan Mallory Tate, LCSW, MED, CSOTP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW, MED, CSOTP
- Enumeration Date
- Sep 28, 2017
- Last Updated
- Oct 18, 2022
Practice Location
- Address
- 105 E CENTER ST STE B-7
- City
- Mebane
- State
- North Carolina
- ZIP Code
- 27302-2420
- Phone
- (917) 773-8283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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