| Chemical Dependence Training Evalua | |
|
230 New Bridge St Jacksonville NC 28540-4708 | |
| (910) 347-4477 | |
| Not Available |
| Full Name | Chemical Dependence Training Evalua |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 230 New Bridge St, Jacksonville, North Carolina |
| Authorized Official Name and Position | Cynthia Bemis (OWNER) |
| Authorized Official Contact | 9103474477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chemical Dependence Training Evalua 230 New Bridge St Jacksonville NC 28540-4708 Ph: (910) 352-5288 | Chemical Dependence Training Evalua 230 New Bridge St Jacksonville NC 28540-4708 Ph: (910) 347-4477 |
| NPI Number | 1083408967 |
|---|---|
| Provider Enumeration Date | 04/07/2025 |
| Last Update Date | 04/07/2025 |
| Certification Date | 04/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083408967 | NPI | - | NPPES |
| 1205666336 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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