Organization
JODI PROVINCE COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI PROVINCE LPCS (OWNER/PROVIDER)
(336) 526-0036
Entity
Organization
Contact information
Practice address
1605 NORWOOD RD, STATESVILLE, NC 28677-8201
(336) 818-0733
(336) 526-0036
Mailing address
1260 COLLEGE AVE, SUITE 1, WILKESBORO, NC 28697-2700
(336) 526-0073
(336) 526-0036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/02/2018
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