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Organization
THERAPIST WILMINGTON
Active
Organization
THERAPIST WILMINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON CHRISTOPHER HALL LCSW. PH.D. (OWNER/OPERATOR)
(910) 795-6677
Entity
Organization
Contact information
Practice address
9404 VOYAGERS WAY, WILMINGTON, NC 28412-3442
(910) 795-6677
Mailing address
9404 VOYAGERS WAY, WILMINGTON, NC 28412-3442
(910) 795-6677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C005936
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
C005936
NC
101YM0800X
Mental Health Counselor
C005936
NC
102L00000X
Psychoanalyst
C005936
NC
103K00000X
Behavior Analyst
C005936
NC
104100000X
Social Worker
C005936
NC
1041C0700X
Clinical Social Worker
Primary
C005936
NC
1041S0200X
School Social Worker
C005936
NC
106H00000X
Marriage & Family Therapist
C005936
NC
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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