21st Century Counseling, Pllc | |
304 E Greene St Rockingham NC 28379-3423 | |
(910) 817-9181 | |
(800) 878-9353 |
Full Name | 21st Century Counseling, Pllc |
---|---|
Speciality | Social Worker |
Location | 304 E Greene St, Rockingham, North Carolina |
Authorized Official Name and Position | Jonadab Samuel Franco (CEO) |
Authorized Official Contact | 9108179181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
21st Century Counseling, Pllc 304 E Green Street Rockingham NC 28379-3423 Ph: (910) 817-9181 | 21st Century Counseling, Pllc 304 E Greene St Rockingham NC 28379-3423 Ph: (910) 817-9181 |
NPI Number | 1689198095 |
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Provider Enumeration Date | 07/27/2017 |
Last Update Date | 05/17/2022 |
Certification Date | 05/17/2022 |
Medicare PECOS PAC ID | 9537427513 |
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Medicare Enrollment ID | O20171220002748 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689198095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jonadab Franco |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275853103 PECOS PAC ID: 0042349920 Enrollment ID: I20100602000823 |
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