Individual
ILENE PROCIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
201 N RIDGEWAY AVE, BLACK MOUNTAIN, NC 28711-3506
(828) 699-7988
Mailing address
201 N RIDGEWAY AVE, BLACK MOUNTAIN, NC 28711-3506
(828) 669-9798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7070
NC
101YP2500X
Professional Counselor
7070
NC
Other
Enumeration date
07/31/2008
Last updated
11/05/2020
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