Tranquil Harbor Family Therapy, Jessica Booth, Pllc | |
319 Court Sq Sanford NC 27330-5658 | |
(919) 498-4556 | |
(919) 708-9089 |
Full Name | Tranquil Harbor Family Therapy, Jessica Booth, Pllc |
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Speciality | Marriage & Family Therapist |
Location | 319 Court Sq, Sanford, North Carolina |
Authorized Official Name and Position | Jessica Glasson Booth (MARRIAGE AND FAMILY THERAPIST) |
Authorized Official Contact | 9194984556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tranquil Harbor Family Therapy, Jessica Booth, Pllc 1062 Hickory House Rd Sanford NC 27332-9193 Ph: (919) 498-4556 | Tranquil Harbor Family Therapy, Jessica Booth, Pllc 319 Court Sq Sanford NC 27330-5658 Ph: (919) 498-4556 |
NPI Number | 1518485457 |
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Provider Enumeration Date | 08/30/2017 |
Last Update Date | 08/30/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518485457 | NPI | - | NPPES |
1942682786 | Other | NC | PERSONAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1843 (North Carolina) | Primary |
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