Organization
CSCLDL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORINNA SUZETTE MCMILLON LPC (PRESIDENT)
(910) 322-1479
Entity
Organization
Contact information
Practice address
2014 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4225
(910) 425-6136
(910) 424-0198
Mailing address
4323 DOMINIQUE ST, HOPE MILLS, NC 28348-2854
(910) 322-1479
(910) 339-2481
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6710
NC
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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