Individual
MRS. JACQUELINE ESCANO PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., N.C.C.H
Contact information
Practice address
263 3RD AVENUE NW, HICKORY, NC 28601
(828) 322-4941
Mailing address
2074 2ND ST DR NW, HICKORY, NC 28601
(828) 441-0271
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
879
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1171A
BLUE CROSS BLUE SHIELD NC
NC
05
—
6102257
—
NC
Enumeration date
10/03/2006
Last updated
07/08/2007
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