Individual
JARRELL STEPHEN MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCAS-A
Contact information
Practice address
925 N 4TH ST, WILMINGTON, NC 28401-3450
(910) 343-0270
(910) 251-1540
Mailing address
925 N 4TH ST, WILMINGTON, NC 28401-3450
(910) 202-8655
(910) 251-1540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27427
NC
Other
Enumeration date
08/19/2021
Last updated
03/18/2025
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