Organization
COGNITIVE CONNECTION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SMITH (CFO)
(828) 256-3436
Entity
Organization
Contact information
Practice address
4330 VIOLA SIPE DR, CONOVER, NC 28613-8839
(828) 256-3436
Mailing address
4330 VIOLA SIPE DR, CONOVER, NC 28613-8839
(828) 256-3436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MHL018056
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
MHL018056
NC
101YM0800X
Mental Health Counselor
MHL018056
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
07/29/2019
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