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NPI Code Detail

MEDICARE: JENNIFER ELIZABETH MCPHERSON LCMHCA

MEDICARE:   JENNIFER ELIZABETH MCPHERSON  LCMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorA21842NC

General Provider Information

NPI Number : 1679422562
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELIZABETH MCPHERSON LCMHCA
Provider Business Mailing Address
First Line : 142 NORMA LN
Second Line :
City : ADVANCE
State : NC
Zip : 27006-7923
Country : US
Telephone Number : 336-425-8579
Fax Number :
Provider Business Practice Location Address
First Line : 942 W 4TH ST
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27101-2582
Country : US
Telephone Number : 336-355-8244
Fax Number : 336-546-7630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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Directions to “ JENNIFER ELIZABETH MCPHERSON LCMHCA” Practice Location

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