Cordoni, Carl Nicholas
Cordoni, Carl Nicholas is an sole proprietor health care provider with primary practice located at 165 Center St , Jacksonville NC 28546-5708. He recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Cordoni, Carl Nicholas can be contacted via phone (910) 219-8000.Contact Information
Primary practice address
165 Center St
Jacksonville NC 28546-5708
Phone: (910) 219-8000
Fax: (910) 219-8073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 955 | North Carolina |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 955 | North Carolina |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 955 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 955 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 955 | North Carolina |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 955 | North Carolina |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 955 | North Carolina |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 955 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | ||
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 955 | North Carolina |
Profile Details
| NPI number | 1578787982 |
|---|---|
| LBN Legal business name | Cordoni, Carl Nicholas |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578787982 | NPPES |
| North Carolina | MEDICAID | 2818511 |
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