| J&j Community Services | |
|
2000 Fort Bragg Rd Suite #3 Fayetteville NC 28303-7041 | |
| (910) 864-5522 | |
| (910) 822-9022 |
| Full Name | J&j Community Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2000 Fort Bragg Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Teresa M Marible (OWNER) |
| Authorized Official Contact | 9108645523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J&j Community Services Po Box 3163 Fayetteville NC 28302-3163 Ph: (910) 864-5523 | J&j Community Services 2000 Fort Bragg Rd Suite #3 Fayetteville NC 28303-7041 Ph: (910) 864-5522 |
| NPI Number | 1063544765 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 11/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063544765 | NPI | - | NPPES |
| FY06-07 | Other | NC | PRIVILEGE BUSINESS LICENS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | FY06-07 (North Carolina) | Primary |
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