Individual
JACKIE LYNN O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2003 GODWIN AVE, SUITE A, LUMBERTON, NC 28358-3149
(910) 739-8849
(910) 739-5167
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9571
NC
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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