Individual
JAQUELIN DODGE-EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2269 STANTONSBURG RD, GREENVILLE, NC 27834-2841
(252) 439-0700
(252) 439-0900
Mailing address
2269 STANTONSBURG RD, GREENVILLE, NC 27834-2841
(252) 439-0700
(252) 439-0900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11459
NC
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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