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Organization

BANNER CONSULTING AND COUNSELING OF NORTH CAROLINA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL MICHELLE DUKE LCSW (OWNER)
(912) 335-9490
Entity
Organization

Contact information

Practice address
2525 RAEFORD RD STE B, FAYETTEVILLE, NC 28305-5092
(910) 491-8901
(910) 891-8902
Mailing address
2525 RAEFORD RD STE B, FAYETTEVILLE, NC 28305-5092
(910) 491-8901
(910) 891-8902

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist

Other

Enumeration date
05/06/2020
Last updated
05/06/2020
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