Individual provider · NPI-1

Jayson Ainsworth, MSW, CADC, LCAS-A

Counselor, Mental Health · Wilmington, NC

NPI number1467063511
StatusActive
Last updated in NPPESAug 12, 2020

Details

NPI
1467063511
Entity type
Individual (NPI-1)
Name
Jayson Ainsworth
Credential
MSW, CADC, LCAS-A
Sex
Male
Sole proprietor
No
Enumeration date
Aug 12, 2020
Certification date
Aug 12, 2020
Last updated
Aug 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLCAS-26670NCYes

Practice location

2301 Delaney Ave
Wilmington, NC 28403-6012

Phone 888-815-5502

Mailing address

2301 Delaney Ave
Wilmington, NC 28403-6012

Phone 888-815-5502

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