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Organization
OLIVE BRANCH COUNSELING, PLLC
Active
Organization
OLIVE BRANCH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRIE WILSON LPC (OWNER)
(910) 990-1119
Entity
Organization
Contact information
Practice address
4018 OLEANDER DR STE 103, WILMINGTON, NC 28403-6812
(910) 782-9505
Mailing address
3413 TANSEY CLOSE DR, WILMINGTON, NC 28409-3690
(910) 990-1119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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