Organization
CREATIVE INTELLIGENCE SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAMES BOLTON (CEO)
(336) 389-1413
Entity
Organization
Contact information
Practice address
125 S 4TH ST, WILMINGTON, NC 28401-4508
(336) 389-1413
Mailing address
125 S 4TH ST, WILMINGTON, NC 28401-4508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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