| Kristin Jones Lcsw Pllc | |
|
7741 Market St Ste A Wilmington NC 28411-9444 | |
| (910) 338-9511 | |
| Not Available |
| Full Name | Kristin Jones Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7741 Market St Ste A, Wilmington, North Carolina |
| Authorized Official Name and Position | Kristin Jones (OWNER) |
| Authorized Official Contact | 9103389511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Jones Lcsw Pllc 7741 Market St Ste A Wilmington NC 28411-9444 Ph: (910) 338-9511 | Kristin Jones Lcsw Pllc 7741 Market St Ste A Wilmington NC 28411-9444 Ph: (910) 338-9511 |
| NPI Number | 1932854619 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 02/21/2022 |
| Certification Date | 02/21/2022 |
| Medicare PECOS PAC ID | 0840686333 |
|---|---|
| Medicare Enrollment ID | O20220411000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932854619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristin Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831671791 PECOS PAC ID: 6709125412 Enrollment ID: I20190225001033 |
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