Provider Information for 1447870001
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Ms. JENNA WILLIS AIKEN LCMHC
Sex: Female
NPI: 1447870001
Last Updated: 2025-01-23
Certification Date: 2025-01-23
Certification Date: 2025-01-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447870001 | ||||||||||||
| Enumeration Date | 2020-04-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 425 HATTERAS, NC 27943-0425 United States Phone: 252-305-0429 | Fax: | ||||||||||||
| Primary Practice Address | 57214 EAGLE PASS RD HATTERAS, NC 27943-0425 United States Phone: 252-305-0429 | Fax: | ||||||||||||
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