Individual
JOVANCA NICOLE MCCOULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1410 E FRANKLIN ST # 500, MONROE, NC 28112-5160
(704) 289-9869
(704) 332-0124
Mailing address
1410 E FRANKLIN ST # 500, ARCHDALE DRIVE, MONROE, NC 28112-5160
(704) 606-3182
(704) 317-3061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14488
NC
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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