Organization
SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHRIS JERNIGAN (EXECUTIVE DIRECTOR)
(828) 584-1105
Entity
Organization
Contact information
Practice address
8076 NC HIGHWAY 105 S, BOONE, NC 28607
(828) 584-1105
Mailing address
PO BOX 3387, MORGANTON, NC 28680-3387
(828) 391-2803
(828) 584-8910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/17/2012
Last updated
05/17/2019
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