Organization
INNOVACION COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX RENE MADRID MA LPC (OWNER)
(704) 506-5944
Entity
Organization
Contact information
Practice address
19900 S MAIN ST STE 4D, CORNELIUS, NC 28031-6513
(704) 506-5944
(704) 506-5944
Mailing address
PO BOX 1791, DAVIDSON, NC 28036-1791
(704) 506-5944
(704) 506-5944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5209
NC
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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