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Organization
SUMMIT COUNSELING SERVICES, LLC
Active
Organization
SUMMIT COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL D LOSACCO MSW (CHIEF EXCEUTIVE OFFICER)
(828) 456-6120
Entity
Organization
Contact information
Practice address
1207 EAST ST, WAYNESVILLE, NC 28786-3438
(828) 456-6120
(828) 456-6164
Mailing address
1207 EAST ST, WAYNESVILLE, NC 28786-3438
(828) 456-6120
(828) 456-6164
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017TM
BLUE CROSS/BLUE SHIELD
NC
05
—
6005598
—
NC
Enumeration date
11/01/2006
Last updated
08/22/2020
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