| Counseling & Neurofeedback Center, Inc. | |
|
1606 Harbour Dr Wilmington NC 28401-7716 | |
| (910) 792-9441 | |
| (910) 792-9574 |
| Full Name | Counseling & Neurofeedback Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1606 Harbour Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Anne O Bertrand (OWNER) |
| Authorized Official Contact | 9107929441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Neurofeedback Center, Inc. 1606 Harbour Dr Wilmington NC 28401-7716 Ph: (910) 792-9441 | Counseling & Neurofeedback Center, Inc. 1606 Harbour Dr Wilmington NC 28401-7716 Ph: (910) 792-9441 |
| NPI Number | 1700982956 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 5092759274 |
|---|---|
| Medicare Enrollment ID | O20050617000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700982956 | NPI | - | NPPES |
| 6005865 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C003149 (North Carolina) | Primary |
| Provider Name | Anne O Bertrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760588867 PECOS PAC ID: 2264476225 Enrollment ID: I20050610000788 |
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