Individual
MRS. JANIE EVE WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
86 SUNSET DR, FAIR BLUFF, NC 28439-9808
(910) 770-1303
Mailing address
86 SUNSET DR, FAIR BLUFF, NC 28439-9808
(910) 770-1303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A8239
NC
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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