Individual provider · Type 1 NPI

Jaclyn Vause Berry, LCMHC

Mental Health Counselor · Charlotte, NC

NPI number 1942581210 Active

Practice location

3541 Randolph Rd, Ste 210
Charlotte, NC 28211-1082

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11117 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1942581210

Jaclyn Vause Berry, LCMHC's National Provider Identifier is 1942581210, issued on Aug 31, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.