Jodi Province Counseling Services Pllc
NPI #1043699812 in Taylorsville, North Carolina
Provider Information
- NPI Number
- 1043699812
- Entity Type
- Organization
- Organization Name
- Jodi Province Counseling Services Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 26, 2015
- Last Updated
- May 26, 2015
Practice Location
- Address
- 99 E MAIN AVE
- City
- Taylorsville
- State
- North Carolina
- ZIP Code
- 28681-2540
- Phone
- (336) 818-0733
Authorized Official
- Name
- JODI PROVINCE, LPCS
- Title
- OWNER/PROVIDER
- Phone
- (336) 818-0733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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