Tricare Child & Family Counseling | |
731 Tilghman Dr Dunn NC 28334-5507 | |
(919) 606-7016 | |
Not Available |
Full Name | Tricare Child & Family Counseling |
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Speciality | Community/Behavioral Health |
Location | 731 Tilghman Dr, Dunn, North Carolina |
Authorized Official Name and Position | Patricia Adkins (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9196067016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tricare Child & Family Counseling 9536 Bells Valley Dr Raleigh NC 27617-7604 Ph: () - | Tricare Child & Family Counseling 731 Tilghman Dr Dunn NC 28334-5507 Ph: (919) 606-7016 |
NPI Number | 1225343502 |
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Provider Enumeration Date | 08/11/2010 |
Last Update Date | 05/18/2022 |
Certification Date | 05/18/2022 |
Medicare PECOS PAC ID | 7416137096 |
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Medicare Enrollment ID | O20110215000120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225343502 | NPI | - | NPPES |
6008176 | Medicaid | NC |
Provider Name | Diann D Solomon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356665780 PECOS PAC ID: 3779614037 Enrollment ID: I20100630000365 |
Provider Name | Karen G Harris Dietrich |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821287434 PECOS PAC ID: 4688998248 Enrollment ID: I20150130001391 |
Provider Name | Crystall Matthews-wells |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609112762 PECOS PAC ID: 7214245869 Enrollment ID: I20150930002169 |
Provider Name | Anna Watkins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245627264 PECOS PAC ID: 2860746120 Enrollment ID: I20181126003494 |
Provider Name | Victoria Lynn Mans |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114440807 PECOS PAC ID: 7517297039 Enrollment ID: I20190926001372 |
Provider Name | Tajae Aliyah Thomas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902304991 PECOS PAC ID: 4880013457 Enrollment ID: I20200930003326 |
Provider Name | Janvier Geneva Gholson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780179317 PECOS PAC ID: 4688088339 Enrollment ID: I20210121000060 |
Provider Name | Mary Honeycutt Jernigan |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356695639 PECOS PAC ID: 5395195069 Enrollment ID: I20231220003293 |
Provider Name | Lauren Blue |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982220323 PECOS PAC ID: 5890145593 Enrollment ID: I20231221000125 |
Provider Name | Jennifer Mafnas |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992257000 PECOS PAC ID: 5193176287 Enrollment ID: I20240112003878 |
Provider Name | Kimberly Ann Everard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144835547 PECOS PAC ID: 7012350713 Enrollment ID: I20240209001759 |
Provider Name | Angela Nicole Guilette |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245641166 PECOS PAC ID: 2668754706 Enrollment ID: I20240513001723 |
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