| Fresh Start Counseling Services,llc | |
|
142 Rehobeth Church Road Clarkton NC 28433 | |
| (616) 303-4636 | |
| Not Available |
| Full Name | Fresh Start Counseling Services,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 142 Rehobeth Church Road, Clarkton, North Carolina |
| Authorized Official Name and Position | Lavenda T Rogers (CEO) |
| Authorized Official Contact | 9108014567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Counseling Services,llc 110 Memory Plz # 107 Whiteville NC 28472-2640 Ph: (910) 801-4567 | Fresh Start Counseling Services,llc 142 Rehobeth Church Road Clarkton NC 28433 Ph: (616) 303-4636 |
| NPI Number | 1861268658 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861268658 | 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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