# RALEIGH PSYCHOLOGICAL ASSOCIATES

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

## Provider details

- **NPI number:** 1760862262
- **Authorized official:** MRS. JACKELIN JENNIFER VELOZ JEFFERSON LPA, ED.S. (OWNER)
- **Authorized official phone:** (919) 274-4476

## Contact information

- **Practice address:** 122 W VERNON AVE, WAKE FOREST, NC 27587-2816
- **Practice address phone:** (919) 274-4476
- **Practice address fax:** (919) 554-9232
- **Mailing address:** 122 W VERNON AVE, WAKE FOREST, NC 27587-2816
- **Mailing address phone:** (919) 274-4476
- **Mailing address fax:** (919) 554-9232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 2501 | NC | Yes |

## Other

- **Enumeration date:** 06/01/2015
- **Last updated:** 06/01/2015