Organization
JAKE WILENSKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE WILENSKY LPCS (PSYCHOTHERAPIST)
(828) 899-0100
Entity
Organization
Contact information
Practice address
101 HEALING FARM LN, MILL SPRING, NC 28756-5808
(828) 899-0100
Mailing address
101 HEALING FARM LN, MILL SPRING, NC 28756-5808
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
LPC 9724
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
LPCS 9724
NC
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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