| Clinical Care Therapy & Wellness | |
|
231 New Bridge St Jacksonville NC 28540-4736 | |
| (910) 358-6742 | |
| Not Available |
| Full Name | Clinical Care Therapy & Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 231 New Bridge St, Jacksonville, North Carolina |
| Authorized Official Name and Position | Lavoncia R Peterson (CEO/CLINICIAN) |
| Authorized Official Contact | 9103586742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Care Therapy & Wellness 231 New Bridge St Jacksonville NC 28540-4736 Ph: (910) 358-6742 | Clinical Care Therapy & Wellness 231 New Bridge St Jacksonville NC 28540-4736 Ph: (910) 358-6742 |
| NPI Number | 1508695586 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508695586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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