| Innovacion Counseling Services, Pllc | |
|
19900 S Main St Ste 4d Cornelius NC 28031-6513 | |
| (704) 506-5944 | |
| (704) 506-5944 |
| Full Name | Innovacion Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 19900 S Main St Ste 4d, Cornelius, North Carolina |
| Authorized Official Name and Position | Alex Rene Madrid (OWNER) |
| Authorized Official Contact | 7045065944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovacion Counseling Services, Pllc Po Box 1791 Davidson NC 28036-1791 Ph: (704) 506-5944 | Innovacion Counseling Services, Pllc 19900 S Main St Ste 4d Cornelius NC 28031-6513 Ph: (704) 506-5944 |
| NPI Number | 1912322793 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912322793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5209 (North Carolina) | Primary |
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