| Ican & Associates, Inc. | |
|
6112 Louise St Fayetteville NC 28314-2719 | |
| (910) 860-9787 | |
| (910) 860-3903 |
| Full Name | Ican & Associates, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6112 Louise St, Fayetteville, North Carolina |
| Authorized Official Name and Position | Shannon M Battle (DIRECTOR/CEO) |
| Authorized Official Contact | 9108609787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ican & Associates, Inc. Po Box 25433 Fayetteville NC 28314-5007 Ph: (910) 860-3903 | Ican & Associates, Inc. 6112 Louise St Fayetteville NC 28314-2719 Ph: (910) 860-9787 |
| NPI Number | 1235466855 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235466855 | NPI | - | NPPES |
| NA | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 5518 (North Carolina) | Primary |
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