Organization
CLINICAL CARE THERAPY & WELLNESS, PLLC
Active
Other names
Clinical Care Therapy & Wellness, Pllc
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONCIA REGAN PETERSON LCSW, LCASA (CEO/PROVIDER)
(910) 358-6742
Entity
Organization
Contact information
Practice address
200 VALENCIA DR STE 117, JACKSONVILLE, NC 28546-6312
(910) 358-6742
Mailing address
200 VALENCIA DR STE 117, JACKSONVILLE, NC 28546-6312
(910) 358-6742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
01/02/2026
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