Individual
JERRY OLIVER EARNHARDT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
110 W WALKER AVE, ASHEBORO, NC 27203-6760
(336) 633-7000
(336) 625-3817
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
S3269
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103545
—
NC
Enumeration date
01/08/2007
Last updated
06/10/2022
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