Individual
MRS. JACQUELINE PHILLIPS TRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LCMHC, LCAS
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-8698
(910) 908-6002
Mailing address
2817 ROCK MERRITT AVE STOP A, FORT BRAGG, NC 28310-5000
(919) 824-9069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7726
NC
101YM0800X
Mental Health Counselor
Primary
7726
NC
101YP2500X
Professional Counselor
7726
NC
101YS0200X
School Counselor
7726
NC
Other
Enumeration date
01/12/2010
Last updated
12/03/2025
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