Individual
JENNIFER EILEEN REDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAS, LCADC
Contact information
Practice address
4000 SHIPYARD BLVD, STE 130, WILMINGTON, NC 28403-6192
(910) 763-3166
(910) 763-3169
Mailing address
4000 SHIPYARD BLVD, STE 130, WILMINGTON, NC 28403-6192
(910) 763-3166
(910) 763-3169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA463
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS 205439
NC
101YM0800X
Mental Health Counselor
Primary
7250
NC
Other
Enumeration date
09/04/2007
Last updated
06/03/2010
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