| Jennifer Clemons, Lcsw, Inc | |
|
1088 Brown Ave Waynesville NC 28786-1918 | |
| (828) 400-5488 | |
| (828) 456-8903 |
| Full Name | Jennifer Clemons, Lcsw, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1088 Brown Ave, Waynesville, North Carolina |
| Authorized Official Name and Position | Jennifer Clemons (OWNER) |
| Authorized Official Contact | 8284005488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Clemons, Lcsw, Inc 1088 Brown Ave Waynesville NC 28786-1918 Ph: (828) 400-5488 | Jennifer Clemons, Lcsw, Inc 1088 Brown Ave Waynesville NC 28786-1918 Ph: (828) 400-5488 |
| NPI Number | 1619143211 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619143211 | NPI | - | NPPES |
| 143CU | Other | NC | BLUE CROSS BLUE SHIELD |
| 6106342 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C005286 (North Carolina) | Primary |
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