Individual
MS. JAIME BIERWAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
117 EMILY LN, YOUNGSVILLE, NC 27596-9681
(919) 840-6585
Mailing address
117 EMILY LN, YOUNGSVILLE, NC 27596-9681
(919) 840-6585
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7383
NC
101YM0800X
Mental Health Counselor
7383
NC
101YP2500X
Professional Counselor
Primary
7383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104246
—
NC
Enumeration date
07/03/2009
Last updated
07/27/2012
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