Organization
JENNIFER CLEMONS, LCSW, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER CLEMONS LCSW (OWNER)
(828) 400-5488
Entity
Organization
Contact information
Practice address
1088 BROWN AVE, WAYNESVILLE, NC 28786-1918
(828) 400-5488
(828) 456-8903
Mailing address
1088 BROWN AVE, WAYNESVILLE, NC 28786-1918
(828) 400-5488
(828) 456-8903
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C005286
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143CU
BLUE CROSS BLUE SHIELD
NC
05
—
6106342
—
NC
Enumeration date
05/02/2008
Last updated
05/02/2008
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