Goforth, Jerry

Goforth, Jerry is an individual health care provider with primary practice located at 732 Davis Ave , Whiteville NC 28472-6002. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Goforth, Jerry can be contacted via phone (910) 640-1038.

Contact Information

Primary practice address
732 Davis Ave Whiteville NC 28472-6002
Phone: (910) 640-1038
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7408 North Carolina

Profile Details

NPI number 1891923751
LBN Legal business name Goforth, Jerry
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Aug 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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