Individual
MRS. JENNIFER ROBYN WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
405 NC 65, REIDSVILLE, NC 27320-8882
(336) 342-8316
Mailing address
3707 HEATHROW DR, WINSTON SALEM, NC 27127-4670
(857) 205-8820
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2130
NC
Other
Enumeration date
04/13/2017
Last updated
06/01/2020
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