Individual
TERRICK JAREL HECKSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P-LCSW
Contact information
Practice address
220 EAST FIRST AVE. EXT., STE. 10, LEXINGTON, NC 27292-3355
(336) 242-2450
(336) 249-9920
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P004819
NC
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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