Alliance Clinical Counseling, Pllc | |
108 Blythe Mill Rd Waxhaw NC 28173-7696 | |
(704) 618-5370 | |
Not Available |
Full Name | Alliance Clinical Counseling, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 108 Blythe Mill Rd, Waxhaw, North Carolina |
Authorized Official Name and Position | Jenna Perusek (OWNER) |
Authorized Official Contact | 7046185370 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alliance Clinical Counseling, Pllc 920 Cameron Ct Monroe NC 28112-6191 Ph: (704) 618-5370 | Alliance Clinical Counseling, Pllc 108 Blythe Mill Rd Waxhaw NC 28173-7696 Ph: (704) 618-5370 |
NPI Number | 1942887989 |
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Provider Enumeration Date | 03/25/2021 |
Last Update Date | 11/24/2021 |
Certification Date | 11/24/2021 |
Identifier | Type | State | Issuer |
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1942887989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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