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Jodi Province Counseling Services Pllc
Community/Behavioral Health Agency in Wilkesboro, North Carolina
NPI 1194050435

Jodi Province Counseling Services Pllc is a Community/Behavioral Health Agency based in Wilkesboro, NC. Jodi Province Counseling Services Pllc practices in Wilkesboro, NC. The NPI Number for Jodi Province Counseling Services Pllc is 1194050435 and holds a License No. 5534 (North Carolina).

The current practice location address for Jodi Province Counseling Services Pllc is 1260 College Ave Ste 1, Wilkesboro, NC and can be reached out via phone at 336-818-0733 and via fax at 336-818-0734.

Location: 1260 College Ave Ste 1, Wilkesboro, NC, 28697-2700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194050435
Provider Name
Jodi Province Counseling Services Pllc
Credential
Provider Entity Type
Organization
Address
1260 College Ave Ste 1, Wilkesboro, NC, 28697-2700
Phone Number
336-818-0733
Fax Number
336-818-0734
Provider Enumeration Date
10/05/2009
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6103527 05 NC
6112147 05 NC
6102745 05 NC
6112237 05 NC
6106369 05 NC
6103333 05 NC
6105186 05 NC
144VW 01 NC BCBSNC
6107594 05 NC
institution
Provider Business Practice Location Address Details
Address
1260 College Ave Ste 1
City
Wilkesboro
State
North Carolina
Zip
28697-2700
Phone Number
336-818-0733
Fax Number
336-818-0734
person
Provider Business Mailing Address Details
Address
1260 College Ave Ste 1
City
Wilkesboro
State
North Carolina
Zip
28697-2700
Phone Number
336-818-0733
Fax Number
336-818-0734
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
5534 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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