Individual
MR. JEREMY DOCKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, SAP, ICAADC,
Contact information
Practice address
2511 NEUDORF RD STE D, CLEMMONS, NC 27012-8922
(336) 725-5129
(336) 245-1174
Mailing address
2511 NEUDORF RD # 10, CLEMMONS, NC 27012-8993
(336) 725-5129
(336) 245-1174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23223
NC
Other
Enumeration date
10/22/2024
Last updated
11/03/2024
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