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JACQUELINE WOOD MARDIS LPC
NPI 1750676466
Counselor - Professional in Fayetteville, NC

Active since June 10, 2011
6855 BRYANSTONE WAY, FAYETTEVILLE, NC 28314(910) 868-5266 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Wood Mardis Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE WOOD MARDIS LPC (NPI 1750676466) is an individual professional provider in Fayetteville, North Carolina, licensed in North Carolina (2939) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1750676466
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE WOOD MARDISCredential: LPC
Location Address6855 BRYANSTONE WAYFayetteville, NC 28314-5313
Mailing Address6855 Bryanstone WayFayetteville, NC 28314-5313 · (910) 868-5266
Phone(910) 868-5266
Sole ProprietorYes
Enumeration DateJune 10, 2011
✔ NPI 1750676466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 2939
6855 BRYANSTONE WAY, Fayetteville, NC 28314
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Mardis's NPI number?

The NPI number for Jacqueline Mardis is 1750676466. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Jacqueline Mardis located?

Jacqueline Mardis practices at 6855 Bryanstone Way, Fayetteville, NC 28314. The listed phone number is (910) 868-5266.

What is Jacqueline Mardis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacqueline Mardis was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.