Organization
NAZARETH CHILDREN'S HOME
Active
Other names
Carolina Counseling and Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PETER YOUSEY MA (CLINICAL DIRECTOR)
(704) 636-5522
Entity
Organization
Contact information
Practice address
8 W 5TH AVE, LEXINGTON, NC 27292-3224
(336) 300-7614
(336) 300-7908
Mailing address
8 W 5TH AVE, LEXINGTON, NC 27292-3224
(336) 300-7614
(336) 300-7908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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