# EMPOWER AND EVOLVE COUNSELING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104571702
- **Authorized official:** JACLYN DITTER MS, LCAS, LCMHC (OWNER)
- **Authorized official phone:** (919) 355-8203

## Contact information

- **Practice address:** 3321 WILLS GROVE LN APT 104, RALEIGH, NC 27615-8076
- **Practice address phone:** (919) 355-8203
- **Mailing address:** 7800 FALLS OF NEUSE RD, PO BOX 99181, RALEIGH, NC 27615
- **Mailing address phone:** (919) 355-8203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2022
- **Last updated:** 02/14/2022