| Living Water Counseling Associates, Pa | |
|
301 S Main St Kannapolis NC 28081-3203 | |
| (704) 933-4673 | |
| (704) 933-4325 |
| Full Name | Living Water Counseling Associates, Pa |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 301 S Main St, Kannapolis, North Carolina |
| Authorized Official Name and Position | Carolyn Shelton Rogers (ADMINSTRATIVE ASSISTANT) |
| Authorized Official Contact | 7049334673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Water Counseling Associates, Pa 301 S Main St Kannapolis NC 28081-3203 Ph: (704) 933-4673 | Living Water Counseling Associates, Pa 301 S Main St Kannapolis NC 28081-3203 Ph: (704) 933-4673 |
| NPI Number | 1629197538 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629197538 | NPI | - | NPPES |
| 7476812 | Other | NC | AETNA |
| 017GC | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4478 (North Carolina) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 0324 (North Carolina) | Primary |
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