Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JON WAYNE ECCLESTON II, LCSW
Active Sole ProprietorClinical Social Worker · INDIAN TRAIL, NC
Registration Details
- NPI Number
- 1306937750
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.623891947215 yrs)
- Last Updated
- Sep 21, 2011
- License
-
C004734 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 UNIONVILLE INDIAN TRL RD WSUITE A1INDIAN TRAIL, NC, 280795591Browse NC providers · Browse ZIP 28079
- Phone
- 7046080445
- Fax
- 7048219337
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in INDIAN TRAIL, NC
| Name | Credential | NPI |
|---|---|---|
| THEODUS MARQUES ROACH | LCSW | 1154340768 |
| MS. BEVERLY JEANNE WRIGHT | LCSW, CASAC, CEAP | 1285742775 |
| DANIELLE TINA RICHARDSON | LCSW | 1407003809 |
| LINDELLY RAJO | LCSW | 1124320676 |
| MRS. ALICIA N RABINOWITZ | LCSW | 1336566918 |
| MRS. VANESSA STARR JAMES | LLMSW | 1205213428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.