| Hiza Benita Maria Jackson-price, MA, LPC, LCAS | |
|
115 Seaward Dr, Holly Ridge, NC 28445-7998 | |
| (910) 265-1235 | |
| Not Available |
| Full Name | Hiza Benita Maria Jackson-price |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 115 Seaward Dr, Holly Ridge, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093065484 | NPI | - | NPPES |
| 1093065484 | Other | NC | NATIONAL PROVIDER IDENTIFIER ENUMERATOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2368 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 7680 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Hiza Benita Maria Jackson-price, MA, LPC, LCAS 455 E Jefferson St, Butler, PA 16001-4724 Ph: (910) 265-1235 | Hiza Benita Maria Jackson-price, MA, LPC, LCAS 115 Seaward Dr, Holly Ridge, NC 28445-7998 Ph: (910) 265-1235 |
Mrs. Kathleen Mary Bornarth, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1061 E Ocean Hwy, Holly Ridge, NC 28445 Phone: 910-803-0981 Fax: 910-803-0981 | |
Summer L Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 Folkstone Rd, Holly Ridge, NC 28445 Phone: 910-803-1537 |