Individual
JODY LYNN NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, LCASA
Contact information
Practice address
232 NEWSOME RD, KING, NC 27021-8507
(336) 983-0941
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23131
NC
101YP2500X
Professional Counselor
Primary
A13412
NC
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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