Provider Demographics
NPI:1144761669
Name:COLLIGAN, CLAIRE (LCMHC LCAS CCS)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:COLLIGAN
Suffix:
Gender:F
Credentials:LCMHC LCAS CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5744 OSPREY COVE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-4087
Mailing Address - Country:US
Mailing Address - Phone:607-437-7830
Mailing Address - Fax:
Practice Address - Street 1:5744 OSPREY COVE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-4087
Practice Address - Country:US
Practice Address - Phone:607-437-7830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20396101YA0400X
NC12161101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)