Individual
JENNIFER ROSE BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
301 E WASHINGTON ST, SUITE 301, GREENSBORO, NC 27401-2957
(336) 333-6853
(336) 333-6815
Mailing address
301 E WASHINGTON ST, SUITE 301, GREENSBORO, NC 27401-2957
(336) 333-6853
(336) 333-6815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6734
NC
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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