Organization
JASPER PSYCHOTHERAPY & CO. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY JASPER LCMHC, CYMHS (OWNER)
(910) 275-4862
Entity
Organization
Contact information
Practice address
5540 CENTERVIEW DR STE 200, RALEIGH, NC 27606-3386
(910) 275-4862
Mailing address
370 ALLISTER DR UNIT 401, RALEIGH, NC 27609-7269
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/17/2025
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