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Organization
MILITARY SUPPLEMENTAL COUNSELING CENTER, LLP
Active
Organization
MILITARY SUPPLEMENTAL COUNSELING CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN C BORCYK LCSW (CO-OWNER)
(336) 345-5565
Entity
Organization
Contact information
Practice address
825 GUM BRANCH RD STE 122, JACKSONVILLE, NC 28540-6293
(336) 345-5565
Mailing address
313 WALNUT ST STE 106, WILMINGTON, NC 28401-4063
(336) 345-5565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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