| Jacob's Ladder Childhood Therapy | |
|
8928 Us Highway 70 W Suite 100 Clayton NC 27520-4844 | |
| (919) 217-2929 | |
| (919) 217-2993 |
| Full Name | Jacob's Ladder Childhood Therapy |
|---|---|
| Speciality | Counselor |
| Location | 8928 Us Highway 70 W, Clayton, North Carolina |
| Authorized Official Name and Position | Rita June Terrago (OWNER/DIRECTOR) |
| Authorized Official Contact | 9192172929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob's Ladder Childhood Therapy 8928 Us Highway 70 W Suite 100 Clayton NC 27520-4844 Ph: (919) 217-2929 | Jacob's Ladder Childhood Therapy 8928 Us Highway 70 W Suite 100 Clayton NC 27520-4844 Ph: (919) 217-2929 |
| NPI Number | 1750695730 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750695730 | NPI | - | NPPES |
| 1447444096 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4543 (North Carolina) | Primary |
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