Organization
BLUE MIST PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULISSA CORONA LCSW (OWNER/THERAPIST)
(610) 841-6081
Entity
Organization
Contact information
Practice address
1864 TACOMA WAY, DENVER, NC 28037-1454
(704) 480-3693
(704) 703-6149
Mailing address
1864 TACOMA WAY, DENVER, NC 28037-1454
(704) 480-3693
(704) 703-6149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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