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Individual

MR. JEFFREY LYNN UNGETHEIM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MA MDIV LPC

Contact information

Practice address
3000 BETHESDA PL, OPTIONS OF WINSTON SALEM SUITE 103, WINSTON SALEM, NC 27103-3331
(336) 768-9768
(336) 768-9557
Mailing address
3000 BETHESDA PL, OPTIONS OF WINSTON SALEM SUITE 103, WINSTON SALEM, NC 27103-3331
(336) 768-9768
(336) 768-9557

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021
NC

Other

Enumeration date
01/10/2006
Last updated
07/08/2007
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