Individual
MR. JONATHAN ANDREW TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCAS, NCC
Contact information
Practice address
823 JEFFERSON ST STE 1, WHITEVILLE, NC 28472-3703
(910) 508-8904
(910) 640-0026
Mailing address
823 JEFFERSON ST STE 1, WHITEVILLE, NC 28472-3703
(910) 508-8904
(910) 640-0026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-3272
NC
101YM0800X
Mental Health Counselor
Primary
9883
NC
Other
Enumeration date
12/12/2012
Last updated
12/06/2019
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