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Organization
MISSION MEDICAL ASSOCIATES, INC
Active
Organization
MISSION MEDICAL ASSOCIATES, INC
Active
Parent organization
MISSION MEDICAL ASSOCIATES, INC
Other names
MISSION BEHAVIORAL HEALTH-MCDOWELL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION MEDICAL ASSOCIATES, INC
Authorized official
JILL HOGGARD GREEN PHD (PRESIDENT)
(828) 213-9637
Entity
Organization
Contact information
Practice address
430 RANKIN DR, SUITE 10, MARION, NC 28752-6568
(828) 213-4502
(828) 213-4540
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 651-6415
(828) 651-6563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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