| Child & Family Therapy Center Pc | |
|
715 Fairgrove Church Rd Se Suite 102 Conover NC 28613-9290 | |
| (704) 664-7148 | |
| (704) 664-3086 |
| Full Name | Child & Family Therapy Center Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 715 Fairgrove Church Rd Se, Conover, North Carolina |
| Authorized Official Name and Position | Pamela H James (OFFICE MANAGER) |
| Authorized Official Contact | 7046647148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family Therapy Center Pc 363 Williamson Rd Suite 102 Mooresville NC 28117-5974 Ph: (704) 664-7148 | Child & Family Therapy Center Pc 715 Fairgrove Church Rd Se Suite 102 Conover NC 28613-9290 Ph: (704) 664-7148 |
| NPI Number | 1396074159 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 03/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396074159 | NPI | - | NPPES |
| 6006780 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 851 (North Carolina) | Primary |
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