Individual
MRS. JACKELIN JENNIFER VELOZ-JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
122 W VERNON AVE, WAKE FOREST, NC 27587-2816
(919) 274-4476
(919) 554-9232
Mailing address
122 W VERNON AVE, WAKE FOREST, NC 27587-2816
(919) 274-4476
(919) 554-9232
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2501
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107214
—
NC
Enumeration date
07/10/2006
Last updated
04/19/2013
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