Organization
SALEM COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CHASE SALMONS LPC (MANAGING MEMBER, OWNER)
(336) 416-1912
Entity
Organization
Contact information
Practice address
203 S STRATFORD RD STE A, WINSTON SALEM, NC 27103-1872
(336) 934-4670
Mailing address
1959 N PEACE HAVEN RD STE 123, WINSTON SALEM, NC 27106-4850
(336) 934-4670
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
10/18/2019
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