Provider Demographics
NPI:1508033499
Name:NAGEL, JEANNE M (MAED, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:M
Last Name:NAGEL
Suffix:
Gender:F
Credentials:MAED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 OLD US 70 HWY
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2318
Mailing Address - Country:US
Mailing Address - Phone:828-686-8201
Mailing Address - Fax:828-686-7834
Practice Address - Street 1:235 OLD US 70 HWY
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-2318
Practice Address - Country:US
Practice Address - Phone:828-686-8201
Practice Address - Fax:828-686-7834
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-11
Last Update Date:2008-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3649101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional