Individual
MARY CAROLINE NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, LCASA
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412
(910) 343-0145
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24652
NC
101YM0800X
Mental Health Counselor
A14068
NC
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
04/15/2021
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