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Organization
LEGACY COUNSELING & CONSULTING GROUP, PLLC
Active
Organization
LEGACY COUNSELING & CONSULTING GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANISHA R JAMES LCSW (OWNER/CLINICAL DIRECTOR)
(704) 726-1270
Entity
Organization
Contact information
Practice address
351 WAGONER DR, SUITE 310, FAYETTEVILLE, NC 28303-4608
(704) 726-1270
(866) 462-1782
Mailing address
PO BOX 25238, FAYETTEVILLE, NC 28314-5003
(704) 726-1270
(866) 462-1782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
9295
SC
101YP2500X
Professional Counselor
C005793
NC
1041C0700X
Clinical Social Worker
Primary
C005793
NC
Other
Enumeration date
04/27/2010
Last updated
08/26/2016
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