Individual
MRS. JENNIFER MARIE ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
211 E SIX FORKS RD, STE #105, RALEIGH, NC 27609-7745
(919) 538-1987
Mailing address
3421 CHEYENNE RD, RALEIGH, NC 27609-7409
(919) 538-1987
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7224
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104113
—
NC
Enumeration date
01/05/2009
Last updated
02/01/2010
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