Individual
JAIME JOHNSON FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 APPLECROSS RD STE A2, PINEHURST, NC 28374-9843
(910) 420-3600
Mailing address
PO BOX 9909, FAYETTEVILLE, NC 28311-9094
(910) 690-9319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24183
NY
101YM0800X
Mental Health Counselor
004906
NY
101YP2500X
Professional Counselor
Primary
10136
NC
Other
Enumeration date
05/22/2008
Last updated
04/14/2022
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