Organization
CLAY WILSON & ASSOCIATES
Active
Other names
The Cognitive Connection
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE WALKER (PRESIDENT - CEO)
(828) 256-3436
Entity
Organization
Contact information
Practice address
929 15TH ST NE STE 100, HICKORY, NC 28601
(828) 327-6026
(828) 327-8796
Mailing address
4330 VIOLA SIPE DR, CONOVER, NC 28613-8839
(828) 256-3436
(828) 256-3623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MHL018056
NC
101YM0800X
Mental Health Counselor
MHL018056
NC
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005415
—
NC
Enumeration date
12/13/2006
Last updated
06/28/2024
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