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Organization
SELF CONCEPTS CLINICAL COUNSELING SERVICES, INC.
Active
Organization
SELF CONCEPTS CLINICAL COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA A WILLIAMS LPC/LCAS/CCS (CEO/PRESIDENT)
(704) 852-3874
Entity
Organization
Contact information
Practice address
1305 E. GARRISON BLVD., GASTONIA, NC 28054-5127
(704) 852-3874
(704) 852-7060
Mailing address
PO BOX 2543, GASTONIA, NC 28053-2543
(704) 852-3874
(704) 852-7060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005253
—
NC
05
—
8300519
—
NC
Enumeration date
12/13/2006
Last updated
10/10/2018
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