Organization Name: | JACOB'S LADDER CHILDHOOD THERAPY |
NPI Number: | 1750695730 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITA JUNE TERRAGO (OWNER/DIRECTOR) |
Mailing Address: | 8928 Us Highway 70 W Suite 100 Clayton |
State: | NC US |
Postal Code: | 275204844 |
Phone Number: | 9192172929 |
Fax Number: | 9192172993 |
NPI Enumeration Date: | 08/02/2010 |
NPI Last Update Date: | 08/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |