Individual
MRS. EILEEN MARIE PASTORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
313 WALNUT ST, WILMINGTON, NC 28401-4067
(910) 599-5364
(877) 224-9783
Mailing address
313 WALNUT ST, WILMINGTON, NC 28401-4067
(910) 599-5364
(877) 224-9783
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105203
—
NC
Enumeration date
03/10/2008
Last updated
08/03/2011
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