Organization
CAROLINA COUNSELING WELLNESS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACLYN WEATHERHEAD LPC (COUNSELOR)
(919) 410-3852
Entity
Organization
Contact information
Practice address
1143 EXECUTIVE CIR, BLDG B STE 201, CARY, NC 27511-4571
(919) 410-3852
Mailing address
2006 MOUNTAIN CT, APEX, NC 27502-3692
(919) 410-3852
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11428
NC
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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