| Blue Ridge Counseling | |
|
110 W Elm St Yadkinville NC 27055-8203 | |
| (336) 677-3991 | |
| (336) 677-1359 |
| Full Name | Blue Ridge Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 110 W Elm St, Yadkinville, North Carolina |
| Authorized Official Name and Position | Suzanne Kelly (PARTNER) |
| Authorized Official Contact | 3366773991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Counseling Po Box 1758 Yadkinville NC 27055-1758 Ph: (336) 677-3991 | Blue Ridge Counseling 110 W Elm St Yadkinville NC 27055-8203 Ph: (336) 677-3991 |
| NPI Number | 1104239474 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104239474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1223 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 1070 (North Carolina) | Primary |
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