Individual
MR. JACK MCFAYDEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1703 COUNTRY CLUB RD, STE 204, JACKSONVILLE, NC 28546-6006
(910) 347-3010
(910) 347-3201
Mailing address
1703 COUNTRY CLUB RD, STE 204, JACKSONVILLE, NC 28546-6006
(910) 347-3010
(910) 347-3201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
750
NC
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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