Organization
COASTAL COUNSELING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA WHITING (PRESIDENT)
(910) 845-8992
Entity
Organization
Contact information
Practice address
1941 GASTONIA RD, SOUTHPORT, NC 28461-9317
(910) 845-8992
Mailing address
1941 GASTONIA RD, SOUTHPORT, NC 28461-9317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C002351
NC
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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