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Organization

POLARIS COUNSELING CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT COSTA LODWICK LCMHC (CEO)
(704) 476-5204
Entity
Organization

Contact information

Practice address
11709 FRUEHAUF DR # 0, CHARLOTTE, NC 28273-7284
(980) 396-2870
Mailing address
3957 ERSKINE WOODS DR, BESSEMER CITY, NC 28016-6556
(704) 476-5204

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
05/15/2023
Last updated
05/15/2023
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