Individual
DR. JACALYN WATSON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCAS
Contact information
Practice address
510 DABNEY DR, SUITE 2, HENDERSON, NC 27536-3946
(252) 572-2625
(252) 572-2955
Mailing address
PO BOX 135, HENDERSON, NC 27536-0135
(252) 572-2625
(252) 572-2625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
565
NC
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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