| Knox Christian Counseling, Pllc | |
|
122 W Vernon Ave Wake Forest NC 27587-2816 | |
| (919) 417-4155 | |
| (919) 554-9232 |
| Full Name | Knox Christian Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 122 W Vernon Ave, Wake Forest, North Carolina |
| Authorized Official Name and Position | Jessica C. Knox (CHRISTIAN COUNSELOR) |
| Authorized Official Contact | 2522312655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knox Christian Counseling, Pllc 122 W Vernon Ave Wake Forest NC 27587-2816 Ph: (919) 417-4155 | Knox Christian Counseling, Pllc 122 W Vernon Ave Wake Forest NC 27587-2816 Ph: (919) 417-4155 |
| NPI Number | 1720728611 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Medicare PECOS PAC ID | 3678945268 |
|---|---|
| Medicare Enrollment ID | O20230208000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720728611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jessica C Knox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326557174 PECOS PAC ID: 5092143347 Enrollment ID: I20200319001371 |
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