Individual
MS. JENNIFER LEE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
824 GUM BRANCH RD STE O, JACKSONVILLE, NC 28540-6269
(910) 545-2719
Mailing address
824 GUM BRANCH RD STE O, JACKSONVILLE, NC 28540-6269
(910) 545-2719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13132
NC
Other
Enumeration date
05/16/2018
Last updated
09/14/2020
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