| Modern Counseling Pllc | |
|
#1097 8322 Pineville Matthews Road Ste 602 Charlotte NC 28226 | |
| (704) 709-5351 | |
| Not Available |
| Full Name | Modern Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | #1097 8322 Pineville Matthews Road Ste 602, Charlotte, North Carolina |
| Authorized Official Name and Position | Jessica Nicole Rodgers (OWNER/COUNSELOR) |
| Authorized Official Contact | 5612126651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Counseling Pllc 4832 N Clark St Apt 109 Chicago IL 60640-4731 Ph: (561) 212-6651 | Modern Counseling Pllc #1097 8322 Pineville Matthews Road Ste 602 Charlotte NC 28226 Ph: (704) 709-5351 |
| NPI Number | 1326764945 |
|---|---|
| Provider Enumeration Date | 10/14/2022 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326764945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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