Individual
MR. JIMMY VAN POPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
895 STATE FARM RD, SUITE 508, BOONE, NC 28607-4917
(828) 264-9007
(828) 262-5687
Mailing address
221 WEST MAIN, JEFFERSON, NC 28640-9723
(336) 246-4542
(336) 246-2364
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5335
NC
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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