Organization
ALLIANCE CLINICAL COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA PERUSEK (OWNER)
(704) 618-5370
Entity
Organization
Contact information
Practice address
108 BLYTHE MILL RD, WAXHAW, NC 28173-7696
(704) 618-5370
Mailing address
920 CAMERON CT, MONROE, NC 28112-6191
(704) 618-5370
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
11/24/2021
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