Individual
MRS. JANICE PEPPER O'BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S,. LPA, LPC
Contact information
Practice address
5710 OLEANDER DR STE 112, WILMINGTON, NC 28403-4722
(910) 769-1785
Mailing address
1302 OLD LAMPLIGHTER WAY, WILMINGTON, NC 28403-3430
(910) 313-1776
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2945
NC
101YM0800X
Mental Health Counselor
Primary
2945
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121
LICENSED PSYCHOLOGICAL AS
NC
01
—
2945
LPC LICENSE
NC
05
—
6107047
—
NC
Enumeration date
03/29/2007
Last updated
10/18/2022
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