Individual
EMILY JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LCMHCA
Contact information
Practice address
302 JEFFERSON ST, RALEIGH, NC 27605-1289
(846) 699-0602
Mailing address
7406 CHAPEL HILL RD STE J, RALEIGH, NC 27607-5039
(048) 391-9573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16670
NC
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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