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Organization

CONNECTING COMMUNITIES AND COUNSELING AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AIMEE A COOPER LCMHC (MENTAL HEALTH COUNSELOR)
(919) 514-9640
Entity
Organization

Contact information

Practice address
461 FALKNER QUARTER RD, WARRENTON, NC 27589-8670
(919) 514-9640
Mailing address
461 FALKNER QUARTER RD, WARRENTON, NC 27589-8670
(919) 514-9640

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1225547847
NC
Enumeration date
01/19/2022
Last updated
01/19/2022
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