Organization
CANNENTA WELLNESS & COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE ESTELLE MILLS LCSW (EXECUTIVE DIRECTOR)
(919) 756-6210
Entity
Organization
Contact information
Practice address
8601 SIX FORKS RD STE 400, RALEIGH, NC 27615-2965
(919) 756-6210
Mailing address
8601 SIX FORKS RD STE 400, RALEIGH, NC 27615-2965
(919) 756-6210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104492081
—
MI
Enumeration date
10/30/2024
Last updated
10/30/2024
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