Individual provider · Type 1 NPI
Jalecia Alexandria Beatty, LCMHCA
Mental Health Counselor · Wake Forest, NC
NPI number
1093300667
Active
Practice location
10500 Ligon Mill Rd Ste 101
Wake Forest, NC 27587-4576
Mailing address
4920 Edgerton Dr Apt 116
Raleigh, NC 27612-2686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A16246 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1093300667
Jalecia Alexandria Beatty, LCMHCA's National Provider Identifier is 1093300667, issued on Mar 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wake Forest, NC. The record was last updated on Mar 5, 2021.