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Organization
PROFESSIONAL COUNSELING ASSOCIATES OF CARY
Active
Organization
PROFESSIONAL COUNSELING ASSOCIATES OF CARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON BOLTON PH.D., LPC-S, LPC (OWNER AND CEO)
(352) 284-8848
Entity
Organization
Contact information
Practice address
2207 OVERFLOW CIR, RALEIGH, NC 27610-5359
(352) 284-8848
Mailing address
2207 OVERFLOW CIR, RALEIGH, NC 27610-5359
(352) 284-8848
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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