Jonathan Moore Cloud, LCSW
Counselor, Mental Health in Oxford, NC. Individual provider (NPI-1).
NPI number1528114709
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1528114709
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonathan Moore Cloud
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C000512 | NC | Yes |
Practice location
120 Orange St Ste AOxford, NC 27565-3249
Phone 336-212-9048
Mailing address
2206 Somers AveBurlington, NC 27215-3338
Phone 336-585-0140 · Fax 919-603-5090
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