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Organization
OCEANSIDE COUNSELING LPC PC
Active
Organization
OCEANSIDE COUNSELING LPC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD GRAY LPC (PRESIDENT)
(910) 742-1791
Entity
Organization
Contact information
Practice address
130 N HAMPTON RD, WILMINGTON, NC 28409-3181
(910) 742-1791
(910) 339-4045
Mailing address
130 N HAMPTON RD, WILMINGTON, NC 28409-3181
(910) 742-1791
(910) 339-4045
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4576
NC
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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