Organization
CAROLINA SENIOR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN BRILEY (CHIEF EXECUTIVE OFFICER)
(208) 451-0101
Entity
Organization
Contact information
Practice address
144 BALD CREEK SCHOOL RD, BURNSVILLE, NC 28714-5740
(208) 630-4286
(208) 634-3108
Mailing address
144 BALD CREEK SCHOOL RD, BURNSVILLE, NC 28714-5740
(208) 630-4286
(208) 634-3108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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