Individual
JESSICA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5317 HIGHGATE DR, DURHAM, NC 27713-6622
(919) 673-2415
Mailing address
6221 LEESBURG LN, RALEIGH, NC 27617-7644
(919) 673-2415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8710
NC
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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