| Icu Christian Counseling Services | |
|
4 Consultant Pl Ste B Durham NC 27707-6338 | |
| (919) 442-8481 | |
| Not Available |
| Full Name | Icu Christian Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4 Consultant Pl Ste B, Durham, North Carolina |
| Authorized Official Name and Position | Tedra Cook (OWNER) |
| Authorized Official Contact | 2522560465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icu Christian Counseling Services 313 Chestnut Oak Pl Durham NC 27704-5196 Ph: (252) 256-0465 | Icu Christian Counseling Services 4 Consultant Pl Ste B Durham NC 27707-6338 Ph: (919) 442-8481 |
| NPI Number | 1528893591 |
|---|---|
| Provider Enumeration Date | 09/07/2024 |
| Last Update Date | 09/07/2024 |
| Certification Date | 09/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528893591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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