Organization
LAKESHORE COUNSELING AND COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL CLARENCE BROWN JR. MA, LPCA, LCASA (OWNER/THERAPIST)
(704) 999-0505
Entity
Organization
Contact information
Practice address
14636 REESE BLVD W, SUITE B-2, HUNTERSVILLE, NC 28078-7946
(704) 999-0505
Mailing address
14636 REESE BLVD W, SUITE B-2, HUNTERSVILLE, NC 28078-7946
(704) 999-0505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11341
NC
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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