Individual
MRS. JACQUELINE A ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, RPT, NCC
Contact information
Practice address
1311 WESTBROOK PLAZA DR, SUITE 100, WINSTON SALEM, NC 27103-1327
(336) 659-8202
(336) 659-8206
Mailing address
PO BOX 24458, WINSTON SALEM, NC 27114-4458
(336) 659-8202
(336) 659-8206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6969
STATE LICENSE
NC
Enumeration date
04/23/2009
Last updated
08/10/2012
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