Organization
GRATEFUL LIFE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA COBLE LCMHCA (MEMBER, OWNER)
(336) 430-7882
Entity
Organization
Contact information
Practice address
1604 MEMORIAL DR, BURLINGTON, NC 27215-3518
(336) 430-7882
Mailing address
1604 MEMORIAL DR, BURLINGTON, NC 27215-3518
(336) 430-7882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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