Individual
MRS. JAMERA MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA,QP, LMHC-A,MS
Contact information
Practice address
1382 DOWDEN ST, KERNERSVILLE, NC 27284-0107
(336) 602-5519
Mailing address
1382 DOWDEN ST, KERNERSVILLE, NC 27284-0107
(336) 602-5519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
A21893
NC
101YM0800X
Mental Health Counselor
Primary
—
NC
101YP1600X
Pastoral Counselor
—
NC
171M00000X
Case Manager/Care Coordinator
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382
—
NC
Enumeration date
07/19/2021
Last updated
09/04/2025
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