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Organization

HIDDEN STREAM COUNSELING, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA ST. JULIEN-DENSON MA (LCMHC-SUPERVISOR)
(133) 725-5652
Entity
Organization

Contact information

Practice address
801 OBERLIN RD STE 310, RALEIGH, NC 27605-1172
(919) 451-1369
(910) 782-1135
Mailing address
149 BLOSSOM CREEK DR, GARNER, NC 27529-7169
(337) 255-6529
(910) 782-1135

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TF0000X
Family Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084P0800X
Psychiatry Physician

Other

Enumeration date
02/01/2021
Last updated
02/01/2021
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