Provider Demographics
NPI:1447513049
Name:LANKFORD, JUXON MORGAN (LPC, CRC)
Entity type:Individual
Prefix:MRS
First Name:JUXON
Middle Name:MORGAN
Last Name:LANKFORD
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 EASTWOOD RD
Mailing Address - Street 2:SUITE 223
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-7229
Mailing Address - Country:US
Mailing Address - Phone:910-233-4334
Mailing Address - Fax:910-256-4473
Practice Address - Street 1:1908 EASTWOOD RD
Practice Address - Street 2:SUITE 223
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-7229
Practice Address - Country:US
Practice Address - Phone:910-233-4334
Practice Address - Fax:910-256-4473
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health