| Mr Jim Tedrow, LPC | |
|
212 Ridge Street, Smithfield, NC 27577 | |
| (919) 751-9120 | |
| Not Available |
| Full Name | Mr Jim Tedrow |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 212 Ridge Street, Smithfield, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023139490 | NPI | - | NPPES |
| 6107238 | Medicaid | NC | |
| 56-1693916 | Other | NC | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 858 NC (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jim Tedrow, LPC 212 Ridge Street, Smithfield, NC 27577 Ph: () - | Mr Jim Tedrow, LPC 212 Ridge Street, Smithfield, NC 27577 Ph: (919) 751-9120 |
Mrs. Elaine Margaret Howell, PCC Counselor Medicare: Medicare Enrolled Practice Location: 521 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-989-5576 Fax: 919-989-5576 | |
Essance Butts, LCMHC-A, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 S Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-300-4315 Fax: 919-205-1512 | |
Cassandra G Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1319 N Brightleaf Blvd Ste F, Smithfield, NC 27577 Phone: 919-934-1312 | |
Stevie Tyrone Robertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 S 3rd St, Smithfield, NC 27577 Phone: 919-763-2983 | |
Melissa Sue Lloyd, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 S Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-300-4315 | |
Mr. Matthew Stirling Mcclelland, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1329 N Brightleaf Blvd, Building C, Suite C, Smithfield, NC 27577 Phone: 919-989-7463 Fax: 919-553-8469 |