Mark, Connie Jo

Mark, Connie Jo is an sole proprietor health care provider with primary practice located at 133 Tiara Dr Trlr 3 , Kings Mountain NC 28086-7820. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mark, Connie Jo can be contacted via phone (704) 730-8762.

Contact Information

Primary practice address
133 Tiara Dr Trlr 3 Kings Mountain NC 28086-7820
Phone: (704) 730-8762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6005931 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6695 North Carolina

Profile Details

NPI number 1245428697
LBN Legal business name Mark, Connie Jo
Credentials LCAS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Jul 22nd, 2009 - about 16 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.

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