Healthcare Provider Details

I. General information

NPI: 1841335080
Provider Name (Legal Business Name): JENNIFER ELIZABETH DAIGLE LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CLAYTON ST
ASHEVILLE NC
28801-2424
US

IV. Provider business mailing address

30 CLAYTON ST
ASHEVILLE NC
28801-2424
US

V. Phone/Fax

Practice location:
  • Phone: 828-225-3040
  • Fax: 828-225-3041
Mailing address:
  • Phone: 828-225-3040
  • Fax: 828-225-3041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4982
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1127
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: