Individual
JACQUELINE E MAFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3708 MAYFAIR ST, SOUTH SQUARE 2, DURHAM, NC 27707-6226
(919) 683-1800
(919) 490-5893
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103933
—
NC
Enumeration date
06/24/2008
Last updated
04/30/2010
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