| Doctor Name: | MRS. JACQUELINE LYDIA CARTHEN |
| NPI Number: | 1922434042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.E.D., LPC, NCC |
| License Number: | A9538 |
| Business Practice Address: | 1423 Mount Tabor Rd Red Springs, NC - 283776327 |
| Business Phone Number: | 9107332155 |
| Business Fax Number: | |
| Mailing Address: | 2331 Mount Zion Church Rd, RED SPRINGS |
| State: | NC |
| Postal Code: | 283778995 |
| Phone Number: | 9107332155 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2013 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | A9538 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |