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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
MR. WILLIAM CHRIS JERNIGAN (EXECUTIVE DIRECTOR)
(828) 584-1105
Entity
Organization
Contact information
Practice address
81 W FORT ST, MARION, NC 28752-4930
(828) 584-1105
Mailing address
PO BOX 3387, MORGANTON, NC 28680-3387
(828) 391-2803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/02/2011
Last updated
05/17/2019
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