Individual
MS. JENNIFER COLLEEN LEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
7741 MARKET ST STE A, WILMINGTON, NC 28411-9444
(910) 232-4506
Mailing address
139 OLDE POINT RD, HAMPSTEAD, NC 28443-2387
(910) 232-4506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
985
NC
101YM0800X
Mental Health Counselor
Primary
4197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102221
—
NC
Enumeration date
03/19/2007
Last updated
09/14/2020
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