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Organization
SPACE TO HEAL COUNSELING AND WELLNESS, PLLC
Active
Organization
SPACE TO HEAL COUNSELING AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA KUCINSKI LPCA, NCC (OWNER/COUNSELOR)
(336) 402-4695
Entity
Organization
Contact information
Practice address
713 N EUGENE ST, GREENSBORO, NC 27401-1621
(336) 585-7188
Mailing address
317 COLLEGE RD UNIT 304, GREENSBORO, NC 27410-5385
(336) 402-4695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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