Individual provider · Type 1 NPI
Jacqueline Wood Mardis, LPC
Professional Counselor · Fayetteville, NC
NPI number
1750676466
Active
Practice location
6855 Bryanstone Way
Fayetteville, NC 28314-5313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2939 (NC) |
Professional Counselor: Definition to come...
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About NPI 1750676466
Jacqueline Wood Mardis, LPC's National Provider Identifier is 1750676466, issued on Jun 10, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 10, 2011.