Jennifer Avery, LCMHC
Counselor, Professional in Wilmington, NC. Individual provider (NPI-1).
NPI number1053772632
StatusActive
Last updated in NPPESFeb 4, 2022
Details
- NPI
- 1053772632
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Avery
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2016
- Certification date
- Feb 4, 2022
- Last updated
- Feb 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 12178 | NC | Yes |
| 101YP2500X | Counselor, Professional | A12178 | NC |
Practice location
5013 Wrightsville AveWilmington, NC 28403-7045
Phone 910-796-6868
Mailing address
4313 Murdock CtShallotte, NC 28470-4310
Phone 910-880-0154
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