Doctor Name: | MS. PHYLLIS JEAN JARVINEN |
NPI Number: | 1093864217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPA |
License Number: | 935 |
Business Practice Address: | 98d Cope Creek Rd Sylva, NC - 287799508 |
Business Phone Number: | 8285866600 |
Business Fax Number: | 8285866601 |
Mailing Address: | Po Box 728, SYLVA |
State: | NC |
Postal Code: | 287790728 |
Phone Number: | 8285866600 |
Fax Number: | 8285866601 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |