Individual
JESSICA ANN BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 KIDD RD, RALEIGH, NC 27610-1862
(919) 532-7599
Mailing address
4101 WOODLAKE PL APT E, RALEIGH, NC 27607-6547
(330) 635-4073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13679
NC
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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