Individual
JENNIFER AFTON LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCA, NCC
Contact information
Practice address
1822 E. HWY 54, SUITE 300, DURHAM, NC 27713
(919) 474-6400
Mailing address
904 PARK RIDGE RD APT B10, DURHAM, NC 27713-9238
(478) 550-8695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A12611
NC
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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