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Organization
WAVES OF CHANGE, PLLC
Active
Organization
WAVES OF CHANGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNIE ELIZABETH ADAIR LPC (MANAGER/OWNER/COUNSELOR)
(252) 725-0797
Entity
Organization
Contact information
Practice address
215 N 35TH ST, SUITE 5, MOREHEAD CITY, NC 28557-3185
(252) 725-0797
Mailing address
104 MARY LN, NEWPORT, NC 28570-9416
(252) 241-6156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4680
LICENCED PROFESSIONAL COUNSELOR
NC
Enumeration date
06/24/2008
Last updated
06/07/2009
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