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Individual

JACQUETTA DENISE CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC-A

Contact information

Practice address
2315 E WT HARRIS BLVD STE 102, CHARLOTTE, NC 28213-5133
(704) 208-4458
(866) 309-6385
Mailing address
2261 DONNINGTON LN NW, CONCORD, NC 28027-3322
(704) 754-7817

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A21191
NC

Other

Enumeration date
04/15/2025
Last updated
04/15/2025
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