Individual
MS. JACQUELYNNE MICHELLE GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA, NCC
Contact information
Practice address
18809 W CATAWBA AVE STE 202, CORNELIUS, NC 28031-5548
(704) 840-5035
Mailing address
16026 WOODCOTE DR, HUNTERSVILLE, NC 28078-5743
(704) 562-5245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427217702
PRACTICE NPI
—
Enumeration date
10/04/2017
Last updated
10/04/2017
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