Juno Promise INC
Counselor, Mental Health in Jamestown, NC. Organization (NPI-2).
NPI number1124604012
StatusActive
Last updated in NPPESJul 14, 2024
Details
- NPI
- 1124604012
- Entity type
- Organization (NPI-2)
- Legal business name
- Juno Promise INC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2021
- Certification date
- Jul 14, 2024
- Last updated
- Jul 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
4142 Queens Grant RdJamestown, NC 27282-8732
Phone 806-220-3528
Mailing address
4142 Queens Grant RdJamestown, NC 27282-8732
Authorized official
Rose Bonner
Owner
8062203528
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