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Hiza Benita Maria Jackson-price, MA,LPC,LCAS
Professional Counselor in Holly Ridge, North Carolina
NPI 1093065484

Hiza Benita Maria Jackson-price is a Professional Counselor based in Butler, NC and is specialized in Professional. Hiza Benita Maria Jackson-price practices in Holly Ridge, NC and has the professional credentials of MA,LPC,LCAS. The NPI Number for Hiza Benita Maria Jackson-price is 1093065484 and holds a License No. 2368 (North Carolina).

The current practice location address for Hiza Benita Maria Jackson-price is 115 Seaward Dr, Holly Ridge, NC and can be reached out via phone at 910-265-1235.

Location: 115 Seaward Dr, Holly Ridge, NC, 16001-4724
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Provider Profile Details
NPI Number
1093065484
Provider Name
Hiza Benita Maria Jackson-price
Credential
MA,LPC,LCAS
Provider Entity Type
Individual
Gender
Female
Address
115 Seaward Dr, Holly Ridge, NC, 16001-4724
Phone Number
910-265-1235
Fax Number
Provider Enumeration Date
09/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093065484 01 NC NATIONAL PROVIDER IDENTIFIER ENUMERATOR
institution
Provider Business Practice Location Address Details
Address
115 Seaward Dr
City
State
Zip
28445-7998
Phone Number
910-265-1235
Fax Number
person
Provider Business Mailing Address Details
Address
115 Seaward Dr
City
State
Zip
28445-7998
Phone Number
910-265-1235
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7680 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2368 (North Carolina)
Definition
Definition to come...
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