Individual
JESSICA CLODFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC, NCC
Contact information
Practice address
2627 HEATHER GLEN LN, CHARLOTTE, NC 28208-2577
(336) 337-1519
Mailing address
2627 HEATHER GLEN LN, CHARLOTTE, NC 28208-2577
(336) 337-1519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12637
NC
Other
Enumeration date
12/27/2016
Last updated
05/20/2022
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