1215250915

Everything you always wanted to know about MR. SLAUGHTER JEFFERY DALE JR. M.A, LPC but were afraid to ask.

MR. SLAUGHTER JEFFERY DALE JR. M.A, LPC

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Suffix Provider Credential
MR. SLAUGHTER JEFFERY DALE JR. M.A, LPC
Gender:
Male
Enumeration date:
2010-03-09
Last update date:
2016-02-11
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
101YM0800X Mental Health NC 7755 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3365437190
Practice Location Address Telephone Number 3365936688

Addresses

Type Address City State Postal Country
Mailing Address 2 FORESTGLADE DRIVE GREENSBORO NC 27406 NC
Practice Location Address 2 FORESTGLADE DR GREENSBORO NC 0 NC