Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | A10515 | NC |
Y | 101YS0200X | School Counselor | NC |
NPI | 1033537717 |
---|---|
Provider Name | Mrs. Leslea Jones |
First Address | Washington, NC 27889-9031 |
Second Address | Washington, NC 27889-9031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 31/03/2014 |