Independence Counseling and Consulting Services, Pllc
NPI #1932445996 in Raeford, North Carolina
Provider Information
- NPI Number
- 1932445996
- Entity Type
- Organization
- Organization Name
- Independence Counseling and Consulting Services, Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 19, 2012
- Last Updated
- Dec 19, 2012
Practice Location
- Address
- 946 MOCKINGBIRD HILL RD
- City
- Raeford
- State
- North Carolina
- ZIP Code
- 28376-6363
- Phone
- (910) 261-4635
Authorized Official
- Name
- TIFFANY SHAW, LPC, NCC, LCAS
- Title
- DIRECTOR
- Phone
- (910) 261-4635
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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