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Individual

JEFFREY ALLEN JAWORSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCAS, LPC

Contact information

Practice address
110 W WOOD HILL DR, NAGS HEAD, NC 27959-9394
(252) 441-1802
(252) 441-1802
Mailing address
PO BOX 1639, MANTEO, NC 27954-1639
(910) 476-4629
(252) 441-1802

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1059
NC
101YM0800X
Mental Health Counselor
Primary
5512
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103427
NC
Enumeration date
01/08/2007
Last updated
10/16/2008
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