Organization
NORTH STATE CONSORTIUM FOR PSYCHOSOCIAL WELLNESS
Active
Other names
InnerWork Psychotherapy & Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN TIG MA (DIRECTOR)
(919) 924-0858
Entity
Organization
Contact information
Practice address
104 JONES FERRY RD, UNIT J, CARRBORO, NC 27510-2036
(919) 942-0858
Mailing address
1419 CRAWFORD DAIRY RD, UNIT C, CHAPEL HILL, NC 27516-8521
(919) 942-0858
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
12/28/2005
Last updated
08/22/2020
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