Individual
JACLYN MUSCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 CENTRAL AVE APT 230, CHARLOTTE, NC 28205-5189
(330) 671-4649
Mailing address
1305 CENTRAL AVE APT 230, CHARLOTTE, NC 28205-5189
(330) 671-4649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2303906
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
07/26/2021
Last updated
02/12/2025
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