Individual
JENNIFER KELLY SILCOX THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4913 PROFESSIONAL CT, SUITE 8, RALEIGH, NC 27609-4913
(919) 277-0253
Mailing address
5116 FORT SUMTER RD, #15A, RALEIGH, NC 27606-2331
(423) 676-8534
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1528
NC
106H00000X
Marriage & Family Therapist
971
TN
Other
Enumeration date
06/25/2013
Last updated
10/15/2013
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