Individual
BARBARA JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
3806 PEACHTREE AVE STE 210, WILMINGTON, NC 28403-6752
(910) 251-7789
Mailing address
6831 GLASS POND CT SW, OCEAN ISLE BEACH, NC 28469-5578
(410) 707-3246
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12236A
NC
Other
Enumeration date
01/22/2018
Last updated
03/11/2021
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