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Organization
SEA GLASS COUNSELING COLLABORATIVE LLC
Active
Organization
SEA GLASS COUNSELING COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE COOKE LCMHC (CEO)
(973) 919-6698
Entity
Organization
Contact information
Practice address
1606 HARBOUR DR, WILMINGTON, NC 28401-7716
(973) 919-6669
(910) 207-5335
Mailing address
1512 BONITO LN, CAROLINA BEACH, NC 28428-5765
(973) 919-6698
(910) 207-5335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
12/31/2024
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