Organization
CROSSVINE CLINICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BLANC MOSES (OWNER)
(919) 813-9415
Entity
Organization
Contact information
Practice address
140 WIND CHIME CT STE A, RALEIGH, NC 27615-6580
(919) 946-3224
Mailing address
1109 WHIPPOORWILL LN, RALEIGH, NC 27609-3643
(919) 813-9415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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