Organization
SOUTHERN PROFESSIONAL COUNSELING SERVICES, LLC
Active
Other names
Southern Professional Counseling Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY B CAMPBELL LCSW (CO-OWNER)
(910) 862-4151
Entity
Organization
Contact information
Practice address
306 WEST BROAD ST., ELIZABETHTOWN, NC 28337-1894
(910) 862-4151
(910) 862-3470
Mailing address
PO BOX 1894, ELIZABETHTOWN, NC 28337-1894
(910) 862-4151
(910) 862-3470
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005118
—
NC
Enumeration date
07/01/2006
Last updated
09/10/2008
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