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Organization
VINE COUNSELING & CONSULTING
Active
Organization
VINE COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BULLOCK (CEO)
(732) 770-5627
Entity
Organization
Contact information
Practice address
1140 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-9634
(984) 401-9354
Mailing address
233 SENECA SHORE DR, HOLLY SPRINGS, NC 27540-6042
(732) 770-5627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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