Organization
CHANGING TIDES COUNSELING AND COACHING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER B MORIN LCSW (SOLE MEMBER)
(910) 398-2972
Entity
Organization
Contact information
Practice address
3807 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-8441
(910) 398-2972
Mailing address
221 NORTH 7TH STREET, WILMINGTON, NC 28401-9057
(910) 398-2972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009123
NC
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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