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Organization
NAZARETH CHILDREN'S HOME
Active
Organization
NAZARETH CHILDREN'S HOME
Active
Other names
Carolina Counseling and Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PETER YOUSEY MA (CLINICAL DIRECTOR)
(704) 636-5522
Entity
Organization
Contact information
Practice address
936 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433
(704) 960-4041
(704) 960-4411
Mailing address
936 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433
(704) 960-4041
(704) 960-4411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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