Individual
BRITTANY A WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 ELIZABETH ST STE C, JACKSONVILLE, NC 28540-5679
(910) 333-0814
Mailing address
102 ELIZABETH ST STE C, JACKSONVILLE, NC 28540-5679
(910) 333-0814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
05/17/2018
Last updated
05/17/2018
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