Doctor Name: | JEFFREY DEAN STRONG |
NPI Number: | 1164442133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, LCAS, CCS |
License Number: | 674 |
Business Practice Address: | 3219 Kedenberg Street Bldg H-5964 Smoke Bomb Hill Asap Center Iii Ft. Bragg, NC - 28310 |
Business Phone Number: | 9109085952 |
Business Fax Number: | 9109085949 |
Mailing Address: | 493 Lake Royale, LOUISBURG |
State: | NC |
Postal Code: | 275499566 |
Phone Number: | 9196240012 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 12/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 674 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |