Individual
MR. NASH W LOVE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
221 W MAIN ST, JEFFERSON, NC 28640-9723
(336) 246-4542
(828) 262-5687
Mailing address
221 W MAIN ST, JEFFERSON, NC 28640-9723
(336) 246-4542
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135VR
BCBS OF NC
NC
05
—
6107298
—
NC
01
—
N/A
CBHA
NC
Enumeration date
03/02/2006
Last updated
03/20/2008
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