| Vallereux Counseling Services, Pc | |
|
408 E Broad St Statesville NC 28677-5329 | |
| (704) 838-1115 | |
| Not Available |
| Full Name | Vallereux Counseling Services, Pc |
|---|---|
| Speciality | Counselor |
| Location | 408 E Broad St, Statesville, North Carolina |
| Authorized Official Name and Position | Sallie D Vallereux (OWNER) |
| Authorized Official Contact | 7048381115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vallereux Counseling Services, Pc 408 E Broad St Statesville NC 28677-5329 Ph: (704) 838-1115 | Vallereux Counseling Services, Pc 408 E Broad St Statesville NC 28677-5329 Ph: (704) 838-1115 |
| NPI Number | 1174767099 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 04/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174767099 | NPI | - | NPPES |
| 6001034 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 10324 (North Carolina) | Primary |
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