# TRANQUIL HARBOR FAMILY THERAPY, JESSICA BOOTH, PLLC

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

## Provider details

- **NPI number:** 1518485457
- **Authorized official:** MRS. JESSICA GLASSON BOOTH MS, LMFT, LCAS-A (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (919) 498-4556

## Contact information

- **Practice address:** 319 COURT SQ, SANFORD, NC 27330-5658
- **Practice address phone:** (919) 498-4556
- **Practice address fax:** (919) 708-9089
- **Mailing address:** 1062 HICKORY HOUSE RD, SANFORD, NC 27332-9193
- **Mailing address phone:** (919) 498-4556
- **Mailing address fax:** (919) 708-9089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1843 | NC | Yes |

## Other

- **Enumeration date:** 08/30/2017
- **Last updated:** 08/30/2017