Organization
CONSCIOUS AWAKENING COUNSELING AND CONSULTING PLLC
Active
Organization
CONSCIOUS AWAKENING COUNSELING AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARUKA J RIVERS MSW, LCSW (OWNER)
(336) 456-3576
Entity
Organization
Contact information
Practice address
612 PASTEUR DR, 209, GREENSBORO, NC 27403-1149
(336) 456-3576
Mailing address
612 WHITTIER DR, GREENSBORO, NC 27403-1121
(336) 456-3576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007607
NC
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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