Jodi Province Counseling Services Pllc
NPI #1063891729 in Jefferson, North Carolina
Provider Information
- NPI Number
- 1063891729
- Entity Type
- Organization
- Organization Name
- Jodi Province Counseling Services Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 27, 2015
- Last Updated
- Nov 13, 2020
Practice Location
- Address
- 626 ASHE CENTRAL SCHOOL RD STE 215
- City
- Jefferson
- State
- North Carolina
- ZIP Code
- 28640-8956
- 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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