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General NPI Number Information
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NPI Number | 1164556379
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Entity Type | Individual
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Provider Name | JAMIKA ROSHUN TRANNON
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7830 N POINT BLVD SUITE 201
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3261
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Country | US
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Telephone | 336-896-0904
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 TWEEDMORE CT
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City | HIGH POINT
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State | NC
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Zip | 27265-9303
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Country | US
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Telephone | 336-896-0904
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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Taxonomy #7
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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Taxonomy #8
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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