Individual
AUDREY PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
4041 ED DR STE 108, RALEIGH, NC 27612-8092
(919) 324-3385
(919) 324-3404
Mailing address
4041 ED DR STE 108, RALEIGH, NC 27612-8092
(919) 324-3385
(919) 324-3404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A12095
LICENSE NUMBER
NC
Enumeration date
09/07/2016
Last updated
09/07/2016
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