Individual
JOLYNN HENNERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
1743 S MAIN ST STE 102, WAKE FOREST, NC 27587-9296
(919) 283-2423
Mailing address
1743 S MAIN ST STE 102, WAKE FOREST, NC 27587-9296
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20615A
NC
Other
Enumeration date
05/09/2025
Last updated
05/15/2025
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