Tidewater Counseling Pllc

NPI 1205155108 - Social Worker - 1041C0700X

NPI Details
NPI 1205155108
Enumeration Date 05/18/2010
Last Updated 07/08/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HEATHER CAMPBELL HEATHER
Position LICENSED CLINICAL SOCIAL WORKER
Phone (252) 229-9053
Fax (252) 648-8381
Practice Location
5126 CHALK ST
MOREHEAD CITY NC, 28557-2559, US
Phone (252) 229-9053
Fax (252) 648-8381
Business Location
5126 CHALK ST
MOREHEAD CITY NC, 28557-2559, US
Phone (252) 229-9053
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Tidewater Counseling Pllc NPI is 1205155108, taxonomy code is 1041C0700X Tidewater Counseling Pllc physically located at 5126 Chalk St, Morehead City NC, 28557-2559. NPI Number 1033115704 has the healthcare provider type.

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1205155108 NPI number is provided on an as is basis without warranty of any kind. 1205155108 is maintained by the National Plan & Provider Enumeration System. The contents of Tidewater Counseling Pllc are for informational purposes only.