Individual
JENNIFER BAGLIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 GUARDIAN AVE, MOREHEAD CITY, NC 28557-4323
(252) 222-3144
Mailing address
3715 GUARDIAN AVE, MOREHEAD CITY, NC 28557-4323
(252) 222-3144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24935
NC
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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