Individual
CORA LAURENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
4412 LAKE AVE, WILMINGTON, NC 28403-5516
(910) 350-2136
Mailing address
441 N 21ST ST, WILMINGTON, NC 28405-2705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A18502
NC
101YS0200X
School Counselor
Primary
1247390
NC
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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