Individual
JAYSON AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CADC, LCAS-A
Contact information
Practice address
2301 DELANEY AVE, WILMINGTON, NC 28403-6012
(888) 815-5502
Mailing address
2301 DELANEY AVE, WILMINGTON, NC 28403-6012
(888) 815-5502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCAS-26670
NC
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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