Organization
CELEBRITY THERAPEUTIC SERVICES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA ROBINSON LPC, NCC, LCAS-A, (OWNER/ORGANIZER)
(301) 455-3415
Entity
Organization
Contact information
Practice address
4819 EMPEROR BLVD, SUITE 400, DURHAM, NC 27703-5420
(301) 455-3415
Mailing address
4819 EMPEROR BLVD, SUITE 400, DURHAM, NC 27703-5420
(301) 455-3415
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
333976
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
21143
NC
101YM0800X
Mental Health Counselor
Primary
8967
NC
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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