Provider Demographics
NPI:1841335080
Name:DAIGLE, JENNIFER ELIZABETH (LPC, LMFT)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:DAIGLE
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2424
Mailing Address - Country:US
Mailing Address - Phone:828-225-3040
Mailing Address - Fax:828-225-3041
Practice Address - Street 1:30 CLAYTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2424
Practice Address - Country:US
Practice Address - Phone:828-225-3040
Practice Address - Fax:828-225-3041
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1127106H00000X
NC4982101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC56162OtherMEDCOST INSURANCE
NC14241OtherBLUE CROSS BLUE SHIELD
NC6103166Medicaid