Organization
AGAPE FAITH LAY COUNSELING CENTER
Active
Organization
AGAPE FAITH LAY COUNSELING CENTER
Active
Other names
Family Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY DOCKERY CADC (DIRECTOR)
(336) 725-5129
Entity
Organization
Contact information
Practice address
3650 N PATTERSON AVE, WINSTON SALEM, NC 27105-3500
(336) 725-5129
(336) 245-1174
Mailing address
3650 N PATTERSON AVE, WINSTON SALEM, NC 27105-3500
(336) 725-5129
(336) 245-1174
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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