Jacob's Ladder Childhood Therapy

NPI #1750695730 in Clayton, North Carolina

Provider Information

NPI Number: 1750695730
Entity Type: Organization
Organization Name: Jacob's Ladder Childhood Therapy
Primary Specialty: Counselor
Enumeration Date: Aug 2, 2010
Last Updated: Aug 9, 2010

Practice Location

Address: 8928 US HIGHWAY 70 W
Address 2: SUITE 100
City: Clayton
State: North Carolina
ZIP Code: 27520-4844
Phone: (919) 217-2929

Authorized Official

Name: RITA JUNE TERRAGO, PHD, ABD, LPC
Title: OWNER/DIRECTOR
Phone: (919) 217-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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