Individual
JENNIFER GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
19837 S MAIN ST, CORNELIUS, NC 28031-8830
(980) 494-3205
Mailing address
16433 BARCICA LN, CORNELIUS, NC 28031-8723
(980) 494-3205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15428
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A15428
N/A
NC
Enumeration date
02/24/2020
Last updated
02/24/2020
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