Making Transitions Pc | |
200 Valencia Dr Suite 137 Jacksonville NC 28546-6311 | |
(901) 353-1957 | |
Not Available |
Full Name | Making Transitions Pc |
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Speciality | Counselor |
Location | 200 Valencia Dr, Jacksonville, North Carolina |
Authorized Official Name and Position | Stacey L Ford (PRESIDENT) |
Authorized Official Contact | 9103531957 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Making Transitions Pc 200 Valencia Dr Suite 137 Jacksonville NC 28546-6311 Ph: (901) 353-1957 | Making Transitions Pc 200 Valencia Dr Suite 137 Jacksonville NC 28546-6311 Ph: (901) 353-1957 |
NPI Number | 1659509008 |
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Provider Enumeration Date | 06/24/2009 |
Last Update Date | 06/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659509008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 5302 (North Carolina) | Primary |
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