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Organization
WILD INDIGO COUNSELING COLLECTIVE
Active
Organization
WILD INDIGO COUNSELING COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE TASTET MA, LCMHCA (CO-OWNER/ PSCYHOTHERAPIST)
(336) 296-8188
Entity
Organization
Contact information
Practice address
5203 AMBERHILL DR, GREENSBORO, NC 27455-2211
(336) 296-8188
(336) 281-5461
Mailing address
5203 AMBERHILL DR, GREENSBORO, NC 27455-2211
(828) 200-6304
(336) 281-5461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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