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Individual

JUANITA AIKEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
603 BEAMAN ST, SUITE 301, CLINTON, NC 28328-2650
(919) 751-9120
(919) 751-9170
Mailing address
2501 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9436
(919) 751-9120
(919) 751-9170

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3985
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1377P
BCBS
NC
05
6102275
NC
Enumeration date
02/23/2006
Last updated
07/09/2007
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