| Icenhour Therapy. Pllc | |
|
242 Nettle Knob Rd West Jefferson NC 28694-7257 | |
| (828) 719-7559 | |
| Not Available |
| Full Name | Icenhour Therapy. Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 242 Nettle Knob Rd, West Jefferson, North Carolina |
| Authorized Official Name and Position | Christopher Icenhour (OWNER) |
| Authorized Official Contact | 8287197559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icenhour Therapy. Pllc 242 Nettle Knob Rd West Jefferson NC 28694-7257 Ph: (828) 719-7559 | Icenhour Therapy. Pllc 242 Nettle Knob Rd West Jefferson NC 28694-7257 Ph: (828) 719-7559 |
| NPI Number | 1477357549 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477357549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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