Individual
JASON RANDALL WHISNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
140 BEACH ST, MORGANTON, NC 28655-3515
(828) 475-0149
Mailing address
140 BEACH ST, MORGANTON, NC 28655-3515
(828) 443-2488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9885
NC
101YM0800X
Mental Health Counselor
A9885
NC
101YP2500X
Professional Counselor
9885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177XV
BCBSNC
NC
05
—
1942546965
—
NC
01
—
A9885
LICENSE #
NC
Enumeration date
12/19/2012
Last updated
05/08/2018
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