Individual
JACY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
1146 BRIDFORD LAKE CIR APT M, GREENSBORO, NC 27407-5179
(336) 543-3228
Mailing address
1146 BRIDFORD LAKE CIR APT M, GREENSBORO, NC 27407-5179
(336) 543-3228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18556
NC
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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