Organization
CONNOLLY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY J CONNOLLY (CHIEF EXECUTIVE OFFICER (CEO))
(910) 260-0417
Entity
Organization
Contact information
Practice address
109 FAYETTEVILLE ST, CLINTON, NC 28328-3901
(910) 596-2020
(910) 275-0013
Mailing address
PO BOX 55, KENANSVILLE, NC 28349-0055
(910) 275-0010
(910) 275-0013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-082-063
NC
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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