Individual
MR. JAMES WALLACE RUTLEDGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1430 WILLOW LN, WEST PARK C61-2, NORTH WILKESBORO, NC 28659-3551
(336) 667-5151
(828) 262-5687
Mailing address
1430 WILLOW LN, WEST PARK C61-2, NORTH WILKESBORO, NC 28659-3551
(336) 667-5151
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141F9
BCBS OF NC
NC
05
—
6103062
—
NC
Enumeration date
03/23/2006
Last updated
07/09/2007
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