Individual
JONISHAWA JONTAY DANIELLE IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 W CORNWALLIS DR, GREENSBORO, NC 27408-6338
(336) 937-3146
(336) 585-6269
Mailing address
347 INLET PLACE DR, WINSTON SALEM, NC 27127-7013
(704) 426-2101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21507
NC
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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