Queer Wave Counseling, Pllc
NPI #1114675998 in Youngsville, North Carolina
Provider Information
- NPI Number
- 1114675998
- Entity Type
- Organization
- Organization Name
- Queer Wave Counseling, Pllc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 11, 2022
- Last Updated
- Mar 11, 2022
Practice Location
- Address
- 766 MOORES POND RD
- City
- Youngsville
- State
- North Carolina
- ZIP Code
- 27596-8199
- Phone
- (919) 236-3211
Authorized Official
- Name
- JEFFREY LICALZI, LCMHCA
- Title
- OWNER/PSYCHOTHERAPIST
- Phone
- (919) 236-3211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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