Individual
MS. JEWEL VANESSA MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
403 E CENTRAL AVE, RAEFORD, NC 28376-2911
(910) 624-6262
Mailing address
182 CASTLE CREEK DR, RAEFORD, NC 28376-8518
(910) 624-6262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102624
—
NC
Enumeration date
06/20/2007
Last updated
07/31/2013
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