| Connolly Counseling, Inc. | |
|
109 Fayetteville St Clinton NC 28328-3901 | |
| (910) 596-2020 | |
| (910) 275-0013 |
| Full Name | Connolly Counseling, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 Fayetteville St, Clinton, North Carolina |
| Authorized Official Name and Position | Gary J Connolly (CHIEF EXECUTIVE OFFICER (CEO)) |
| Authorized Official Contact | 9102600417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connolly Counseling, Inc. Po Box 55 Kenansville NC 28349-0055 Ph: (910) 275-0010 | Connolly Counseling, Inc. 109 Fayetteville St Clinton NC 28328-3901 Ph: (910) 596-2020 |
| NPI Number | 1073796272 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 12/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073796272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-082-063 (North Carolina) | Primary |
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