| Oceanside Counseling Lpc Pc | |
|
130 N Hampton Rd Wilmington NC 28409-3181 | |
| (910) 742-1791 | |
| (910) 339-4045 |
| Full Name | Oceanside Counseling Lpc Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 N Hampton Rd, Wilmington, North Carolina |
| Authorized Official Name and Position | Jarrod Gray (PRESIDENT) |
| Authorized Official Contact | 9107421791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanside Counseling Lpc Pc 130 N Hampton Rd Wilmington NC 28409-3181 Ph: (910) 742-1791 | Oceanside Counseling Lpc Pc 130 N Hampton Rd Wilmington NC 28409-3181 Ph: (910) 742-1791 |
| NPI Number | 1174076780 |
|---|---|
| Provider Enumeration Date | 07/31/2016 |
| Last Update Date | 07/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174076780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4576 (North Carolina) | Primary |
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