| Asa Therapeutic Services, Pllc | |
|
200 Valencia Dr Ste 128 Jacksonville NC 28546-6313 | |
| (910) 938-1300 | |
| (910) 938-2900 |
| Full Name | Asa Therapeutic Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 200 Valencia Dr Ste 128, Jacksonville, North Carolina |
| Authorized Official Name and Position | Charmaine Dowdell (EXECUTIVE MANAGER) |
| Authorized Official Contact | 9109381300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asa Therapeutic Services, Pllc 200 Valencia Dr Ste 128 Jacksonville NC 28546-6313 Ph: (910) 938-1300 | Asa Therapeutic Services, Pllc 200 Valencia Dr Ste 128 Jacksonville NC 28546-6313 Ph: (910) 938-1300 |
| NPI Number | 1366724569 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366724569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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