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Mrs. Jamillah A. Jackson Kelly, MS/EDS,NCC,LCMHCS
Professional Counselor in Durham, North Carolina
NPI 1235463308

Jamillah A. Jackson Kelly is a Professional Counselor based in Holly Springs, NC and is specialized in Professional. Jamillah A. Jackson Kelly practices in Durham, NC and has the professional credentials of MS/EDS,NCC,LCMHCS. The NPI Number for Jamillah A. Jackson Kelly is 1235463308 and holds a License No. 8340 (North Carolina).

The current practice location address for Jamillah A. Jackson Kelly is 4600 Emperor Blvd, Durham, NC and can be reached out via phone at 919-651-8558.

Location: 4600 Emperor Blvd, Durham, NC, 27540-5428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235463308
Provider Name
Jamillah A. Jackson Kelly
Credential
MS/EDS,NCC,LCMHCS
Provider Entity Type
Individual
Gender
Female
Address
4600 Emperor Blvd, Durham, NC, 27540-5428
Phone Number
919-651-8558
Fax Number
Provider Enumeration Date
09/23/2009
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
246803 01 NATIONAL BOARD FOR CERTIFIED COUNSELORS, INC.
S8340 01 NC THE NC BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
511277 01 NATIONAL CERTIFICATION COMMISSION FOR ADDICTION PROFESSIONALS
8340 01 NC THE NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
institution
Provider Business Practice Location Address Details
Address
4600 Emperor Blvd
City
Durham
State
North Carolina
Zip
27703-8577
Phone Number
919-651-8558
Fax Number
person
Provider Business Mailing Address Details
Address
4600 Emperor Blvd
City
Durham
State
North Carolina
Zip
27703-8577
Phone Number
919-651-8558
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
8340 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
8340 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Nursing Service Related Providers
Classification
Doula
Speciality
-
Taxonomy
374J00000X
License No.
8340 (North Carolina)
Definition
Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
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