Individual
BENJAMIN BRITT JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
1053 13TH ST SE, HICKORY, NC 28602-4165
(704) 865-3525
Mailing address
PO BOX 4003, GASTONIA, NC 28054-0041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15868
NC
101YP2500X
Professional Counselor
A15868
NC
Other
Enumeration date
03/23/2021
Last updated
02/02/2022
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