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Organization
JACK REGISTER & ASSOCIATES PLLC
Active
Organization
JACK REGISTER & ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK REGISTER LCSW, LCAS, CCS (CEO)
(336) 443-6703
Entity
Organization
Contact information
Practice address
1700 MARION ST, GREENSBORO, NC 27403-3432
(336) 443-6703
(336) 217-8029
Mailing address
1700 MARION ST, GREENSBORO, NC 27403-3432
(336) 443-6703
(336) 217-8029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1723
NC
1041C0700X
Clinical Social Worker
Primary
C004968
NC
Other
Enumeration date
10/25/2017
Last updated
12/03/2021
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