Organization
PHOENIX COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONCE VEREEN MA, LCAS-P (CLINICIAN)
(704) 299-3879
Entity
Organization
Contact information
Practice address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 861-8014
Mailing address
6210 ROBUR CT, CHARLOTTE, NC 28269-1686
(704) 299-3879
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396845004
—
NC
01
—
8301469
6005727
NC
Enumeration date
10/25/2010
Last updated
10/25/2010
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