| Cobblestone Counseling Center, Pllc | |
|
19824 W Catawba Ave Suite G-201 Cornelius NC 28031-4046 | |
| (704) 433-6644 | |
| Not Available |
| Full Name | Cobblestone Counseling Center, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 19824 W Catawba Ave, Cornelius, North Carolina |
| Authorized Official Name and Position | Candace M Farmer (OWNER) |
| Authorized Official Contact | 7044336644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobblestone Counseling Center, Pllc Po Box 2684 Cornelius NC 28031-2684 Ph: (704) 433-6644 | Cobblestone Counseling Center, Pllc 19824 W Catawba Ave Suite G-201 Cornelius NC 28031-4046 Ph: (704) 433-6644 |
| NPI Number | 1831499086 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Medicare PECOS PAC ID | 8628263167 |
|---|---|
| Medicare Enrollment ID | O20101110000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831499086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C006688 (North Carolina) | Primary |
| Provider Name | Candace M Farmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306085519 PECOS PAC ID: 7113062944 Enrollment ID: I20100304000746 |
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