Individual
JEANNE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1410 E ASH ST, GOLDSBORO, NC 27530-5202
(919) 778-8551
(919) 734-1297
Mailing address
1410 E ASH ST, GOLDSBORO, NC 27530-5202
(919) 778-8551
(919) 734-1297
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0946
NC LICENSE NUMBER
NC
Enumeration date
03/31/2009
Last updated
03/31/2009
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