Organization
A KALEIDOSCOPE MIND PLLC
Active
Organization
A KALEIDOSCOPE MIND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY L NASH MA, LCMHC, LCAS (OWNER)
(336) 577-1759
Entity
Organization
Contact information
Practice address
144 N CHERRY ST STE 4, KERNERSVILLE, NC 27284-2800
(336) 515-3630
Mailing address
2142 CHERRYWOOD DR, CLEMMONS, NC 27012-9388
(336) 577-1759
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
04/20/2022
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