Individual
JALECIA ALEXANDRIA BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
10500 LIGON MILL RD STE 101, WAKE FOREST, NC 27587-4576
(919) 457-1274
Mailing address
4920 EDGERTON DR APT 116, RALEIGH, NC 27612-2686
(919) 559-1998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16246
NC
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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