Organization
HIDDEN WOUNDS FAMILY THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ELLSWORTH CLINE MA (OWNER/LICENSED MARRIAGE AND FAMILY)
(919) 762-6558
Entity
Organization
Contact information
Practice address
201 E ACADEMY ST STE 110, FUQUAY VARINA, NC 27526-2248
(919) 762-6558
Mailing address
201 E ACADEMY ST STE 110, FUQUAY VARINA, NC 27526-2248
(919) 762-6558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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