| Chrysalis Counseling And Consultation Center, Inc, | |
|
612 Pasteur Dr Suite 405 Greensboro NC 27403-1149 | |
| (336) 852-0626 | |
| (336) 856-7703 |
| Full Name | Chrysalis Counseling And Consultation Center, Inc, |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 612 Pasteur Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Gary L Kling (EXECUTIVE DIRECTOR / COUNSELOR) |
| Authorized Official Contact | 3368520626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chrysalis Counseling And Consultation Center, Inc, 612 Pasteur Drive Suite 405 Greensboro NC 27403-1120 Ph: (336) 852-0626 | Chrysalis Counseling And Consultation Center, Inc, 612 Pasteur Dr Suite 405 Greensboro NC 27403-1149 Ph: (336) 852-0626 |
| NPI Number | 1295111581 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295111581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | 2390 (North Carolina) | Primary |
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