Individual
MRS. JESLYN THAXTON MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MA
Contact information
Practice address
4919 MONROE RD, CHARLOTTE, NC 28205-7821
(704) 372-4010
(704) 536-3508
Mailing address
4919 MONROE RD, CHARLOTTE, NC 28205-7821
(704) 372-4010
(704) 536-3508
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7333
NC
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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