| Coastal Counseling Clinic | |
|
1941 Gastonia Rd Southport NC 28461-9317 | |
| (910) 845-8992 | |
| Not Available |
| Full Name | Coastal Counseling Clinic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1941 Gastonia Rd, Southport, North Carolina |
| Authorized Official Name and Position | Marcia Whiting (PRESIDENT) |
| Authorized Official Contact | 9108458992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Counseling Clinic 1941 Gastonia Rd Southport NC 28461-9317 Ph: () - | Coastal Counseling Clinic 1941 Gastonia Rd Southport NC 28461-9317 Ph: (910) 845-8992 |
| NPI Number | 1598098048 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598098048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C002351 (North Carolina) | Primary |
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