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General NPI Number Information
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NPI Number | 1285578732
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Entity Type | Organization
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Legal Business Name | JONATHAN DOCKERY COUNSELING, PLLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 3000 BETHESDA PL STE 103
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3323
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Country | US
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Telephone | 336-281-5662
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 BETHESDA PL STE 103
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3323
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Country | US
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Telephone | 336-281-5662
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN H DOCKERY
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Credential | LCMHC-A
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Telephone | 336-281-5662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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