Organization
BLUE HERON COUNSELING AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH UTLEY LCMHC (MEMBER/ORGANIZER)
(704) 802-2629
Entity
Organization
Contact information
Practice address
124 E NORTH ST, ALBEMARLE, NC 28001-4048
(704) 802-2629
Mailing address
PO BOX 501, ALBEMARLE, NC 28002-0501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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