Individual
MRS. JACQUELINE LYDIA CARTHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.E.D., LPCS, NCC
Contact information
Practice address
112 W 4TH AVE, RED SPRINGS, NC 28377-1508
(910) 802-2008
Mailing address
1423 MOUNT TABOR ROAD, RED SPRINGS, NC 28377-8995
(910) 733-2155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S9538
NC
Other
Enumeration date
09/20/2013
Last updated
04/29/2020
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