Organization
EMPOWER AND EVOLVE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN DITTER MS, LCAS, LCMHC (OWNER)
(919) 355-8203
Entity
Organization
Contact information
Practice address
3321 WILLS GROVE LN APT 104, RALEIGH, NC 27615-8076
(919) 355-8203
Mailing address
7800 FALLS OF NEUSE RD, PO BOX 99181, RALEIGH, NC 27615
(919) 355-8203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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