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Organization
ROCK OF REFUGE
Active
Organization
ROCK OF REFUGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA N VASILAS PHD., NCC, LCMHCS (OWNER)
(704) 709-1147
Entity
Organization
Contact information
Practice address
2922 AUDREY DR, GASTONIA, NC 28054-7268
(704) 709-1147
(980) 495-8940
Mailing address
1963 EASTWAY DR, DALLAS, NC 28034-9570
(704) 709-1147
(980) 495-8940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
05/19/2022
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