Individual provider · Type 1 NPI
Jacquelin Renee Thomas
Mental Health Counselor · Charlotte, NC
NPI number
1639007966
Active
Practice location
9307 Monroe Rd Ste P
Charlotte, NC 28270-1486
Mailing address
7210 Jerimoth Dr
Charlotte, NC 28215-7447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-30385 (NC) |
| Mental Health Counselor Primary | 101YM0800X | A22853 (NC) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1639007966
Jacquelin Renee Thomas's National Provider Identifier is 1639007966, issued on May 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on May 8, 2026.