Individual
JACQUELINE LEE HERRING WALDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC LMBT
Contact information
Practice address
824 GUM BRANCH RD STE T, JACKSONVILLE, NC 28540-6269
(910) 381-9995
Mailing address
3440 COBB RD, KINSTON, NC 28501-6877
(910) 381-9995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12993
NC
Other
Enumeration date
10/17/2025
Last updated
10/24/2025
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