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Organization
PHOENIX COUNSELING CENTER
Active
Organization
PHOENIX COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY C BRANNON (CREDENTIALING)
(704) 884-2060
Entity
Organization
Contact information
Practice address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 884-2060
(704) 854-4860
Mailing address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 884-2060
(704) 854-4860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P007856
NC
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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