Individual
MRS. MARY MAC GOLDSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
603 PECAN LN, WHITEVILLE, NC 28472-2949
(910) 640-2021
(910) 642-3944
Mailing address
302 LAKESHORE DR, LAKE WACCAMAW, NC 28450-2132
(910) 646-4370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6752
NC
Other
Enumeration date
07/12/2007
Last updated
11/29/2010
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