Christine J Jordan, | |
640 Holly Ave, Winston Salem, NC 27101-2716 | |
(336) 725-3999 | |
Not Available |
Full Name | Christine J Jordan |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 640 Holly Ave, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265446215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | 3945 (South Carolina) | Secondary |
106H00000X | Marriage & Family Therapist | 978 (North Carolina) | Primary |
Entity Name | University Of North Carolina At Chapel Hill |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
Mailing Address | Practice Location Address |
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Christine J Jordan, Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 | Christine J Jordan, 640 Holly Ave, Winston Salem, NC 27101-2716 Ph: (336) 725-3999 |
Jeanne Carette Reynolds, DMIN, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 791 Jonestown Rd, Winston Salem, NC 27103 Phone: 336-716-4551 Fax: 336-716-9642 | |
Mrs. Mary Douglas Ungetheim, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3000 Bethesda Pl, Options Of Winston Salem Suite 103, Winston Salem, NC 27103 Phone: 336-768-9768 Fax: 336-768-9557 | |
Marysabel Vasquez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1001 Reynolda Rd, Winston Salem, NC 27104 Phone: 336-721-7600 | |
Mr. Stephen Eugene Foss, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2735 Henning Dr Ste A, Winston Salem, NC 27106 Phone: 800-388-9804 Fax: 336-794-0505 | |
Leslie Mann, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4035 University Pkwy, Suite 101, Winston Salem, NC 27106 Phone: 336-397-1560 Fax: 336-397-1566 | |
Ms. Judith Ann Pisarro-grant, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3447 Robinhood Rd Ste 312, Winston Salem, NC 27106 Phone: 336-530-2500 | |
Mrs. Georgia Brown Youssef, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8025 N Point Blvd, Suite 231, Winston Salem, NC 27106 Phone: 336-896-0065 Fax: 336-896-0710 |