Individual
MS. MARY BETH LOCKLEAR-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS,LCAS,CCS
Contact information
Practice address
5506 PROSPECT RD, MAXTON, NC 28364-7826
(910) 521-0552
Mailing address
5506 PROSPECT RD, MAXTON, NC 28364-7826
(910) 706-1394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YM0800X
Mental Health Counselor
9105
NC
101YP2500X
Professional Counselor
Primary
A9105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659643559
—
NC
Enumeration date
02/08/2012
Last updated
11/05/2021
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