Individual
MR. JAMIE MYRON WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 202-3155
(910) 202-5772
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 202-3155
(910) 202-5772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22503
NC
101YM0800X
Mental Health Counselor
Primary
A12309
NC
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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