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Individual

JACQUELYN ROSE LENTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC-A

Contact information

Practice address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(704) 288-1097
Mailing address
7114 CAPSTAN TER, CHARLOTTE, NC 28269-5350

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22238
NC

Other

Enumeration date
11/07/2025
Last updated
11/07/2025
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