Individual
JENNIFER ELAINE STICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC. LCAS
Contact information
Practice address
69 N BROAD ST, BREVARD, NC 28712
(828) 631-3973
(828) 631-9280
Mailing address
PO BOX 2187, SYLVA, NC 28779-2187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3577
NC
101YM0800X
Mental Health Counselor
11293
NC
101YP2500X
Professional Counselor
Primary
11293
NC
Other
Enumeration date
12/19/2014
Last updated
10/21/2019
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