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Individual

JEFF T FLOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
824 GUM BRANCH RD STE B, JACKSONVILLE, NC 28540-6269
(910) 265-2919
(910) 355-2427
Mailing address
111 BRIDGEWATER CT, JACKSONVILLE, NC 28546-7905
(910) 265-2919
(910) 355-2427

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4282
LA
101YP2500X
Professional Counselor
Primary
6904
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6104045
NC
Enumeration date
05/11/2006
Last updated
09/28/2011
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