JACOB AVERILL

WILMINGTON, NC
NPI1659930618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C014123)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  25590)
Enumeration Date2019-06-12
Last Update Date2025-06-02
Business Address
JACOB AVERILL LCSW, LCAS, CCS
615 SHIPYARD BLVD
WILMINGTON, NC 28412-6431
Phone number: 910-343-0145
Mailing Address
JACOB AVERILL LCSW, LCAS, CCS
615 SHIPYARD BLVD
WILMINGTON, NC 28412-6431
Phone number: 910-343-0145