Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY DOCKERY, CADC, SAP, ICAADC
Active Sole ProprietorMR. JEREMY DOCKERY, CADC, SAP, ICAADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CLEMMONS, North Carolina. NPI 1316768286 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CLEMMONS, NC
Registration Details
- NPI Number
- 1316768286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2024 (1.790043942173 yrs)
- Last Updated
- Nov 3, 2024
- License
-
23223 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2511 NEUDORF RD STE DCLEMMONS, NC, 270128922Browse NC providers · Browse ZIP 27012
- Phone
- 3367255129
- Fax
- 3362451174
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CLEMMONS, NC
| Name | Credential | NPI |
|---|---|---|
| KEVIN EUGENE ODOM | CCS-I, LCAS, LCMHC-A | 1932748068 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.