Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Wood Mardis, LPC

Individual provider Professional Counselor · NPI 1750676466

Jacqueline Wood Mardis, LPC is a Professional Counselor in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6855 Bryanstone Way
Fayetteville, NC 28314-5313
Phone: (910) 868-5266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2939 (NC)

Record details

NPI number1750676466
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 10, 2011
Last updated in NPPESJune 10, 2011

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