Individual
MS. CARYN MARIE COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
1041 OLD OCEAN HWY, BOLIVIA, NC 28422-8584
(910) 754-7908
(910) 799-3313
Mailing address
610 S COLLEGE RD, WILMINGTON, NC 28403-3202
(910) 799-1071
(910) 799-3313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC 3338
SC
101YP2500X
Professional Counselor
Primary
LPC 3445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043677617
FORMER TAX ID OF OLD CORP
SC
05
—
6102265
—
NC
Enumeration date
06/08/2006
Last updated
12/01/2011
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