Organization
QUEER WAVE COUNSELING, PLLC
Active
Other names
QWAVE
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LICALZI LCMHCA (OWNER/PSYCHOTHERAPIST)
(919) 236-3211
Entity
Organization
Contact information
Practice address
766 MOORES POND RD, YOUNGSVILLE, NC 27596-8199
(919) 236-3211
Mailing address
766 MOORES POND RD, YOUNGSVILLE, NC 27596-8199
(919) 236-3211
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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