Organization
THE WOLF'S REFUGE: COUNSELING AND HEALING SERVICES PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSIE COCKERHAM LCSWA (OWNER)
(336) 482-7858
Entity
Organization
Contact information
Practice address
6020 W PINE ST, MOUNT AIRY, NC 27030-6184
(336) 482-7858
Mailing address
6020 W PINE ST, MOUNT AIRY, NC 27030-6184
(336) 482-7858
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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