Provider Demographics
NPI:1689850828
Name:ORMOND, JOHN KERN JR (LPC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:KERN
Last Name:ORMOND
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 EASTWOOD RD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-5721
Mailing Address - Country:US
Mailing Address - Phone:910-509-0444
Mailing Address - Fax:910-509-0449
Practice Address - Street 1:1904 EASTWOOD RD
Practice Address - Street 2:SUITE 309
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-5721
Practice Address - Country:US
Practice Address - Phone:910-509-0444
Practice Address - Fax:910-509-0449
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4751101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional