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Organization
TRANSFORMATION COUNSELING & CONSULTING
Active
Organization
TRANSFORMATION COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE JANEEN WALLACE LCMHC (OWNER/CEO)
(919) 306-2579
Entity
Organization
Contact information
Practice address
3041 BERKS WAY STE 102C, RALEIGH, NC 27614-6777
(919) 925-2274
(919) 820-8571
Mailing address
PO BOX 627, WAKE FOREST, NC 27588-0627
(919) 306-2579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2020
Last updated
01/05/2021
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