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NPI Code Detail

MEDICARE: JEFF T FLOWERS LPC

MEDICARE:   JEFF T FLOWERS  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor4282LA
2101YP2500XProfessional Counselor6904NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033169990
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF T FLOWERS LPC
Provider Business Mailing Address
First Line : 111 BRIDGEWATER CT
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7905
Country : US
Telephone Number : 910-265-2919
Fax Number : 910-355-2427
Provider Business Practice Location Address
First Line : 824 GUM BRANCH RD STE B
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-6269
Country : US
Telephone Number : 910-265-2919
Fax Number : 910-355-2427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 09/28/2011

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Directions to “ JEFF T FLOWERS LPC” Practice Location

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