| Reflect Professional Counseling And Psychological Services | |
|
5868 Faringdon Pl Ste 16a Raleigh NC 27609-3931 | |
| (919) 424-1973 | |
| Not Available |
| Full Name | Reflect Professional Counseling And Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 5868 Faringdon Pl Ste 16a, Raleigh, North Carolina |
| Authorized Official Name and Position | Jacqueline Camp (OWNER) |
| Authorized Official Contact | 9194241973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflect Professional Counseling And Psychological Services 5868 Faringdon Pl Ste 16a Raleigh NC 27609-3931 Ph: (919) 424-1973 | Reflect Professional Counseling And Psychological Services 5868 Faringdon Pl Ste 16a Raleigh NC 27609-3931 Ph: (919) 424-1973 |
| NPI Number | 1902409519 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Medicare PECOS PAC ID | 6901296748 |
|---|---|
| Medicare Enrollment ID | O20211209000947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902409519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Paula Marie Kline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528356219 PECOS PAC ID: 8921261561 Enrollment ID: I20161212000712 |
| Provider Name | Jacqueline P Camp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336415637 PECOS PAC ID: 7012159361 Enrollment ID: I20170117001248 |
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