Individual
JAIMIE SOPHIA CORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
3305 HEALY DR UNIT B, WINSTON SALEM, NC 27103-1406
(336) 448-4451
Mailing address
2412 LAKE BRANDT PL APT A, GREENSBORO, NC 27455-2087
(713) 444-5293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15537
NC
Other
Enumeration date
07/31/2020
Last updated
11/05/2023
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