person
Mr. Jim Tedrow, LPC
Mental Health Counselor in Smithfield, North Carolina
NPI 1023139490

Jim Tedrow is a Mental Health Counselor based in Smithfield, NC and is specialized in Mental Health. Jim Tedrow practices in Smithfield, NC and has the professional credentials of LPC. The NPI Number for Jim Tedrow is 1023139490 and holds a License No. 858 NC (North Carolina).

The current practice location address for Jim Tedrow is 212 Ridge Street, Smithfield, NC and can be reached out via phone at 919-751-9120.

Location: 212 Ridge Street, Smithfield, NC, 27577
person
Provider Profile Details
NPI Number
1023139490
Provider Name
Jim Tedrow
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
212 Ridge Street, Smithfield, NC, 27577
Phone Number
919-751-9120
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6107238 05 NC
56-1693916 01 NC TAX ID
institution
Provider Business Practice Location Address Details
Address
212 Ridge Street
City
State
Zip
27577
Phone Number
919-751-9120
Fax Number
person
Provider Business Mailing Address Details
Address
212 Ridge Street
City
State
Zip
27577
Phone Number
919-751-9120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
858 NC (North Carolina)
Definition
Definition to come...
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