Individual provider · Type 1 NPI
Jim Tedrow, LPC
Mental Health Counselor · Smithfield, NC
NPI number
1023139490
Active
Practice location
212 Ridge Street
Smithfield, NC 27577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 858 NC (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1023139490
Jim Tedrow, LPC's National Provider Identifier is 1023139490, issued on Apr 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Smithfield, NC. The record was last updated on Jul 9, 2007.