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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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