Individual
MISS ERICA OWEN JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
305 N STATE ST, YADKINVILLE, NC 27055-5245
(336) 679-8921
Mailing address
430 S CLIFFDALE DR, WINSTON SALEM, NC 27104-3808
(336) 659-7784
(336) 679-2909
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
4132
NC
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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