MR. Jon Wayne Eccleston II, LCSW
NPI #1306937750 in Indian Trail, North Carolina
Provider Information
- NPI Number
- 1306937750
- Entity Type
- Individual
- Name
- MR. Jon Wayne Eccleston II, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Sep 21, 2011
Practice Location
- Address
- 124 UNIONVILLE INDIAN TRL RD W
- Address 2
- SUITE A1
- City
- Indian Trail
- State
- North Carolina
- ZIP Code
- 28079-5591
- Phone
- (704) 608-0445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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