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Family Service Of The Piedmont

Counselor, Mental Health in Jamestown, NC. Organization (NPI-2).

NPI number1619150265
StatusActive
Last updated in NPPESApr 8, 2008

Details

NPI
1619150265
Entity type
Organization (NPI-2)
Legal business name
Family Service Of The Piedmont
Organization subpart
No
Enumeration date
Dec 6, 2007
Last updated
Apr 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

902 Bonner Dr
Jamestown, NC 27282-8948

Phone 336-889-6105

Mailing address

902 Bonner Dr
Jamestown, NC 27282-8948

Authorized official

Thomas Bonney
President And Ceo
3364782017

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