Vallereux Counseling Services, Pc | |
408 E Broad St Statesville NC 28677-5329 | |
(704) 838-1115 | |
Not Available |
Full Name | Vallereux Counseling Services, Pc |
---|---|
Speciality | Counselor |
Location | 408 E Broad St, Statesville, North Carolina |
Authorized Official Name and Position | Sallie D Vallereux (OWNER) |
Authorized Official Contact | 7048381115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vallereux Counseling Services, Pc 408 E Broad St Statesville NC 28677-5329 Ph: (704) 838-1115 | Vallereux Counseling Services, Pc 408 E Broad St Statesville NC 28677-5329 Ph: (704) 838-1115 |
NPI Number | 1174767099 |
---|---|
Provider Enumeration Date | 04/22/2009 |
Last Update Date | 04/22/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174767099 | NPI | - | NPPES |
6001034 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 10324 (North Carolina) | Primary |
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