Jodi Province Counseling Services Pllc
NPI #1194050435 in Wilkesboro, North Carolina
Provider Information
- NPI Number
- 1194050435
- Entity Type
- Organization
- Organization Name
- Jodi Province Counseling Services Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 5, 2009
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 1260 COLLEGE AVE STE 1
- City
- Wilkesboro
- State
- North Carolina
- ZIP Code
- 28697-2700
- Phone
- (336) 818-0733
Authorized Official
- Name
- MRS. JODI TILLEY PROVINCE, MA, LPC, NCC
- Title
- ORGANIZER/MEMBER
- Phone
- (336) 818-0733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Community/Behavioral Health |
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