ERICA OWEN JERNIGAN

YADKINVILLE, NC
NPI1508059445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YS0200X Counselor, School
(Licence: NC  4132)
Enumeration Date2007-08-23
Last Update Date2007-08-23
Business Address
Miss ERICA OWEN JERNIGAN MA, LPC
305 N STATE ST
YADKINVILLE, NC 27055-5245
Phone number: 336-679-8921
Mailing Address
Miss ERICA OWEN JERNIGAN MA, LPC
430 S CLIFFDALE DR
WINSTON SALEM, NC 27104-3808
Phone number: 336-659-7784