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Organization

THERAPEUTIC SPECIALTIES OF NORTH CAROLINA, PLLC

Active
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Organization

THERAPEUTIC SPECIALTIES OF NORTH CAROLINA, PLLC

Active
Other names
Henderson Psychological Services, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAMMY S JUNTUNEN MA, LPA (CO-OWNER)
(252) 431-4418
Entity
Organization

Contact information

Practice address
104 MARKET ST, HENDERSON, NC 27537-3751
(252) 431-4418
(252) 572-2418
Mailing address
104 MARKET STREET, HENDERSON, NC 27537
(252) 431-4418
(252) 572-2418

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
2332
NC
251S00000X
Community/Behavioral Health Agency
2348
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107074
—
NC
05
—
6107348
—
NC
Enumeration date
12/21/2010
Last updated
09/01/2023
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