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Jennifer Diana Proudfoot
Counselor in Charlotte, North Carolina
NPI 1871771766

Jennifer Diana Proudfoot is a Counselor based in Charlotte, NC. Jennifer Diana Proudfoot practices in Charlotte, NC. The NPI Number for Jennifer Diana Proudfoot is 1871771766 and holds a License No. (North Carolina).

The current practice location address for Jennifer Diana Proudfoot is 5200 Park Rd Ste 119, Charlotte, NC and can be reached out via phone at 704-582-2582 and via fax at 704-527-5302.

Location: 5200 Park Rd Ste 119, Charlotte, NC, 28209-3650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871771766
Provider Name
Jennifer Diana Proudfoot
Credential
Provider Entity Type
Individual
Gender
Female
Address
5200 Park Rd Ste 119, Charlotte, NC, 28209-3650
Phone Number
704-582-2582
Fax Number
704-527-5302
Provider Enumeration Date
02/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6104127 05 NC
institution
Provider Business Practice Location Address Details
Address
5200 Park Rd Ste 119
City
Charlotte
State
North Carolina
Zip
28209-3650
Phone Number
704-582-2582
Fax Number
704-527-5302
person
Provider Business Mailing Address Details
Address
5200 Park Rd Ste 119
City
Charlotte
State
North Carolina
Zip
28209-3650
Phone Number
704-582-2582
Fax Number
704-527-5302
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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