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915 Tate Blvd Se Ste 186 Hickory NC 28602-4042 | |
| (828) 449-8458 | |
| (828) 323-8348 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 915 Tate Blvd Se, Hickory, North Carolina |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
915 Tate Blvd Se Ste 186 Hickory NC 28602-4042 Ph: (828) 449-8458 | 915 Tate Blvd Se Ste 186 Hickory NC 28602-4042 Ph: (828) 449-8458 |
| NPI Number | 1902298839 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902298839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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