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Organization

CAROLINA COUNSELING AND CONSULTATION, LLC

Active
Other names
Carolina Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES A. MALLINSON JR. MA, LCAS, CCS (CEO)
(704) 213-2770
Entity
Organization

Contact information

Practice address
417 N MAIN ST STE C, CORPORATE SQUARE, SALISBURY, NC 28144-4376
(704) 636-5522
(704) 636-5533
Mailing address
417 N MAIN ST STE C, CORPORATE SQUARE, SALISBURY, NC 28144-4376
(704) 636-5522
(704) 636-5533

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker

Other

Enumeration date
07/09/2009
Last updated
07/09/2009
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