Individual
MS. JENNA WILLIS AIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
57214 EAGLE PASS RD, HATTERAS, NC 27943-0425
(252) 305-0429
Mailing address
PO BOX 425, HATTERAS, NC 27943-0425
(252) 305-0429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25820
NC
101YM0800X
Mental Health Counselor
Primary
A15404
NC
Other
Enumeration date
04/23/2020
Last updated
01/23/2025
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