Organization
BLU JAAE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONEE PERTRICE EDWARDS MS, CRC, LCMHC, ALC (OWNER/LEAD THERAPIST)
(252) 518-5223
Entity
Organization
Contact information
Practice address
615 SAINT GEORGE SQUARE CT, STE 300, WINSTON SALEM, NC 27103-1368
(252) 518-5223
Mailing address
615 SAINT GEORGE SQUARE CT, STE 300, WINSTON SALEM, NC 27103-1368
(252) 518-5223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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