| Isa Counseling, Llc | |
|
1709 Legion Rd Suite 117 Chapel Hill NC 27517-2375 | |
| (919) 903-6167 | |
| Not Available |
| Full Name | Isa Counseling, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1709 Legion Rd, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Victoria L Shields (OWNER) |
| Authorized Official Contact | 9199036167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isa Counseling, Llc 1709 Legion Rd Suite 117 Chapel Hill NC 27517-2375 Ph: (919) 903-6167 | Isa Counseling, Llc 1709 Legion Rd Suite 117 Chapel Hill NC 27517-2375 Ph: (919) 903-6167 |
| NPI Number | 1174077853 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174077853 | NPI | - | NPPES |
| 1053674960 | Other | NC | NPI |
| 12726515 | Other | NC | CAQH PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-2603 (North Carolina) | Primary |
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