Individual
JENNIFER PAULINE BEADELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 N MAIN ST, TROY, NC 27371
(910) 572-3681
(910) 572-5579
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A13811
NC
101YP2500X
Professional Counselor
Primary
A13811
NC
Other
Enumeration date
05/12/2018
Last updated
11/28/2018
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