Organization
CRESCENT MOON COUNSELING, INC.
Active
Organization
CRESCENT MOON COUNSELING, INC.
Active
Other names
Sandi Gray-Terrry, MSW, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
SANDI GRAY-TERRY MSW, LCSW (OWNER)
(252) 431-0075
Entity
Organization
Contact information
Practice address
221 ORANGE ST, HENDERSON, NC 27536-4234
(252) 431-0075
Mailing address
1410 N MANGUM ST, DURHAM, NC 27701-1311
(252) 431-0075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C002534
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36593
BCBS-NC
NC
05
—
6003804
—
NC
Enumeration date
12/21/2009
Last updated
12/21/2009
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