Individual
MRS. JAMILLAH A. JACKSON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/EDS, NCC, LCMHCS
Contact information
Practice address
4600 EMPEROR BLVD, DURHAM, NC 27703-8577
(919) 651-8558
Mailing address
329 PEACH HILL LN, HOLLY SPRINGS, NC 27540-5428
(336) 327-7361
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8340
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
8340
NC
101YP2500X
Professional Counselor
Primary
8340
NC
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246803
NATIONAL BOARD FOR CERTIFIED COUNSELORS, INC.
—
01
—
511277
NATIONAL CERTIFICATION COMMISSION FOR ADDICTION PROFESSIONALS
—
01
—
8340
THE NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
01
—
S8340
THE NC BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
NC
Enumeration date
09/23/2009
Last updated
11/19/2024
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