Organization
PROVIDENCE VIEW COUNSELING & PLAY THERAPY, PLLC
Active
Other names
Providence View Counseling & Play Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER COBB MA, LPCA, NCC (OWNER)
(704) 659-6220
Entity
Organization
Contact information
Practice address
5950 FAIRVIEW RD STE 306, CHARLOTTE, NC 28210-3175
(704) 659-6220
Mailing address
5950 FAIRVIEW RD STE 306, CHARLOTTE, NC 28210-3175
(704) 659-6220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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