Organization
CONSCIOUS AWAKENING COUNSELING AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARUKA RIVERS LCSW (OWNER)
(336) 456-3576
Entity
Organization
Contact information
Practice address
2806 BAINBRIDGE DR, APT D, DURHAM, NC 27713-1441
(336) 456-3576
Mailing address
2806 BAINBRIDGE DR, APT D, DURHAM, NC 27713-1441
(336) 456-3576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007607
NC
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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