Individual
MRS. EMILY SMITH JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MED
Contact information
Practice address
725 HIGHLAND AVE, SUITE 100, WINSTON SALEM, NC 27101-4180
(336) 607-8523
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9180
NC
Other
Enumeration date
01/30/2012
Last updated
12/31/2013
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