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Organization
OCEAN'S CREST COUNSELING CENTER, PLLC
Active
Organization
OCEAN'S CREST COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WAGONER LCMHC (LCMHC)
(910) 520-4316
Entity
Organization
Contact information
Practice address
2409 GRACE AVE, NEW BERN, NC 28562-4445
(910) 759-5959
(910) 516-5036
Mailing address
2409 GRACE AVE, NEW BERN, NC 28562-4445
(910) 520-4316
(910) 516-5036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295468742
—
NC
Enumeration date
07/01/2022
Last updated
02/18/2026
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