Individual provider · Type 1 NPI

Jessica Squires Carlyle, LCMHCA

Mental Health Counselor · Greenville, NC

NPI number 1801636618 Active

Practice location

313 Clifton St
Greenville, NC 27858-5008

Mailing address

2206 Kathleen Dr
Greenville, NC 27858-9578

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA20041 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1801636618

Jessica Squires Carlyle, LCMHCA's National Provider Identifier is 1801636618, issued on May 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenville, NC. The record was last updated on Jun 26, 2024.