Jodi Province Counseling Services Pllc | |
1605 Norwood Rd Statesville NC 28677-8201 | |
(336) 818-0733 | |
(336) 526-0036 |
Full Name | Jodi Province Counseling Services Pllc |
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Speciality | Counselor - Professional |
Location | 1605 Norwood Rd, Statesville, North Carolina |
Authorized Official Name and Position | Jodi Province (OWNER/PROVIDER) |
Authorized Official Contact | 3365260036 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jodi Province Counseling Services Pllc 1260 College Ave Suite 1 Wilkesboro NC 28697-2700 Ph: (336) 526-0073 | Jodi Province Counseling Services Pllc 1605 Norwood Rd Statesville NC 28677-8201 Ph: (336) 818-0733 |
NPI Number | 1427437391 |
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Provider Enumeration Date | 05/26/2015 |
Last Update Date | 05/02/2018 |
Identifier | Type | State | Issuer |
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1427437391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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