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Organization
SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES
Active
Organization
SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHRISTOPHER JERNIGAN (EXECUTIVE DIRECTOR)
(828) 584-1105
Entity
Organization
Contact information
Practice address
49 ROCK WALL LN, BURNSVILLE, NC 28714-8567
(828) 675-1508
Mailing address
7330 MYRTLE DR, NEBO, NC 28761-8666
(828) 584-1105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/19/2013
Last updated
11/21/2014
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