Provider Demographics
NPI:1982135869
Name:STRICKLAND, JILL (LPCA)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 KILDAIRE FARM RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4596
Mailing Address - Country:US
Mailing Address - Phone:919-535-9939
Mailing Address - Fax:
Practice Address - Street 1:1140 KILDAIRE FARM RD STE 104
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4596
Practice Address - Country:US
Practice Address - Phone:919-535-9939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-23
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
NC12861101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional