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Organization
SOUTHFORK COUNSELING CENTER
Active
Organization
SOUTHFORK COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH TALLENT MA, ED.S, LPC, NCC (CLINICIAN/ CO-OWNER)
(980) 284-2159
Entity
Organization
Contact information
Practice address
701 S LAUREL ST STE 3, LINCOLNTON, NC 28092-3654
(704) 740-7044
Mailing address
701 S LAUREL ST STE 3, LINCOLNTON, NC 28092-3654
(980) 284-2159
(980) 284-2205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
11/13/2019
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