Individual
MISS JESSICA LYNELL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
44 DREAM AVE, DELCO, NC 28436-8700
(910) 655-0698
Mailing address
1032 S 10TH ST, WILMINGTON, NC 28401-5866
(919) 633-5953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14158
NC
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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