Individual
JILL M MINOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1310 RAEFORD RD, 2, FAYETTEVILLE, NC 28305-5085
(502) 381-0041
Mailing address
1000 LITTLE GEM DR, 106, FAYETTEVILLE, NC 28314-2584
(502) 381-0041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1080
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284760
—
KY
Enumeration date
05/02/2007
Last updated
04/07/2016
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