Charles Boyd Counselman, LCSW
Social Worker, Clinical in Morrisville, NC. Individual provider (NPI-1).
NPI number1225868979
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1225868979
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles Boyd Counselman
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C017399 | NC | Yes |
Practice location
705 Keystone Park Dr Unit 50Morrisville, NC 27560-6102
Phone 336-707-1915
Mailing address
705 Keystone Park Dr Unit 50Morrisville, NC 27560-6102
Phone 336-707-1915
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