Individual
JEANNE RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CPSS
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 842-6980
Mailing address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 842-6980
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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