Individual
JAKE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 N GREENE ST, GREENSBORO, NC 27401-2024
(336) 390-2244
Mailing address
612 N GREENE ST, GREENSBORO, NC 27401-2024
(336) 390-2244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15767
FL
101YM0800X
Mental Health Counselor
Primary
13903
NC
101YM0800X
Mental Health Counselor
15767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13903
NCBLPC
NC
Enumeration date
04/25/2018
Last updated
05/22/2023
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