| Fortitude Counseling Associates, Pllc | |
|
100 Westlake Rd Ste 102 Fayetteville NC 28314-4871 | |
| (910) 286-9730 | |
| (833) 299-8421 |
| Full Name | Fortitude Counseling Associates, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 Westlake Rd Ste 102, Fayetteville, North Carolina |
| Authorized Official Name and Position | Shawn Jones (CEO/DIRECTOR) |
| Authorized Official Contact | 9102869730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Counseling Associates, Pllc 100 Westlake Rd Ste 102 Fayetteville NC 28314-4871 Ph: (910) 286-9730 | Fortitude Counseling Associates, Pllc 100 Westlake Rd Ste 102 Fayetteville NC 28314-4871 Ph: (910) 286-9730 |
| NPI Number | 1558804294 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558804294 | NPI | - | NPPES |
| 1972918290 | Medicaid | NC |
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