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Organization
MINDMATTERS HYPNOSIS AND COUNSELING, INC.
Active
Organization
MINDMATTERS HYPNOSIS AND COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLE MILLER BOMBARDIER LCSW (OWNER/CLINICIAN)
(704) 932-5788
Entity
Organization
Contact information
Practice address
10225 HICKORYWOOD HILL AVE, SUITE B, HUNTERSVILLE, NC 28078-3430
(704) 796-8542
(704) 932-0538
Mailing address
1513 CRIPPLE CREEK RD, KANNAPOLIS, NC 28081-5760
(704) 932-5788
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001378
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003483
—
NC
Enumeration date
09/26/2011
Last updated
09/26/2011
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