Organization
JUMP COUNSELING AND CONSULTING, LLC
Active
Other names
James and Akemi McGoogan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C. MCGOOGAN MSPBH,MPC,LCASA,CADC (CHIEF EXECUTIVE OFFICER)
(910) 224-3562
Entity
Organization
Contact information
Practice address
301 MCCULLOUGH DR STE 400, CHARLOTTE, NC 28262-1336
(470) 296-3139
Mailing address
2958 DEEP COVE DR NW, CONCORD, NC 28027-2522
(910) 224-3562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
01/06/2021
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