Blue Ridge Counseling | |
110 W Elm St Yadkinville NC 27055-8203 | |
(336) 677-3991 | |
(336) 677-1359 |
Full Name | Blue Ridge Counseling |
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Speciality | Counselor - Professional |
Location | 110 W Elm St, Yadkinville, North Carolina |
Authorized Official Name and Position | Suzanne Kelly (PARTNER) |
Authorized Official Contact | 3366773991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Ridge Counseling Po Box 1758 Yadkinville NC 27055-1758 Ph: (336) 677-3991 | Blue Ridge Counseling 110 W Elm St Yadkinville NC 27055-8203 Ph: (336) 677-3991 |
NPI Number | 1104239474 |
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Provider Enumeration Date | 06/04/2014 |
Last Update Date | 06/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104239474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1223 (North Carolina) | Secondary |
101YP2500X | Counselor - Professional | 1070 (North Carolina) | Primary |
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