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1093300667
JALECIA ALEXANDRIA BEATTY
WAKE FOREST, NC
NPI
1093300667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A16246)
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
JALECIA ALEXANDRIA BEATTY LCMHCA
10500 LIGON MILL RD STE 101
WAKE FOREST, NC 27587-4576
Phone number: 919-457-1274
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Mailing Address
JALECIA ALEXANDRIA BEATTY LCMHCA
4920 EDGERTON DR APT 116
RALEIGH, NC 27612-2686
Phone number: 919-559-1998
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