Organization
ASSOCIATES IN CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK E. COLE (MGR, OPERATIONS & DEVELOPMENT)
(336) 896-0065
Entity
Organization
Contact information
Practice address
8025 N POINT BLVD, SUITE 231, WINSTON SALEM, NC 27106-3262
(336) 896-0065
(336) 896-0710
Mailing address
8025 N POINT BLVD, SUITE 231, WINSTON SALEM, NC 27106-3262
(336) 896-0065
(336) 896-0710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3057
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016PP
BCBS NC GROUP NUMBER
NC
Enumeration date
07/27/2006
Last updated
11/05/2015
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