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Organization
EMPOWER AND EVOLVE COUNSELING PLLC
Active
Organization
EMPOWER AND EVOLVE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN DITTER MS, LCAS, LCMHC (OWNER)
(919) 355-8203
Entity
Organization
Contact information
Practice address
3321 WILLS GROVE LN APT 104, RALEIGH, NC 27615-8076
(919) 355-8203
Mailing address
7800 FALLS OF NEUSE RD, PO BOX 99181, RALEIGH, NC 27615
(919) 355-8203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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