Individual
JENNIFER CORINNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
230 W MILLBROOK RD, RALEIGH, NC 27609-4304
(919) 443-0878
(919) 790-2361
Mailing address
230 W MILLBROOK RD, RALEIGH, NC 27609-4304
(919) 443-0878
(919) 790-2361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11963
NC
Other
Enumeration date
11/23/2015
Last updated
08/23/2016
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