Provider Demographics
NPI:1225061286
Name:PREYER, JILL (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:
Last Name:PREYER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 LAKE BOONE TRAIL
Mailing Address - Street 2:STE 2C
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607
Mailing Address - Country:US
Mailing Address - Phone:919-773-6666
Mailing Address - Fax:919-786-0604
Practice Address - Street 1:4601 LAKE BOONE TRAIL
Practice Address - Street 2:STE 2C
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-773-6666
Practice Address - Fax:919-786-0604
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNCMFT518106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist