Organization
COUNSELING ASSOCIATES OF THE TRIAD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KISZELY-BRESSLER (OWNER/THERAPIST)
(336) 207-1955
Entity
Organization
Contact information
Practice address
7 RED FERN CT, GREENSBORO, NC 27455-2714
(336) 207-1955
(336) 245-4626
Mailing address
301 S ELM ST, SUITE 505, GREENSBORO, NC 27401-2696
(336) 355-8308
(336) 245-4626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
8318
NC
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104650
—
NC
Enumeration date
07/14/2016
Last updated
07/14/2016
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